person
Natasha Lea Clark, LPC
Professional Counselor in Merriam, Kansas
NPI 1992341283

Natasha Lea Clark is a Professional Counselor based in Trenton, KS and is specialized in Professional. Natasha Lea Clark practices in Merriam, KS and has the professional credentials of LPC. The NPI Number for Natasha Lea Clark is 1992341283 and holds a License No. 2940 (Kansas).

The current practice location address for Natasha Lea Clark is 6750 Antioch Rd Ste 210, Merriam, KS and can be reached out via phone at 888-631-3938 and via fax at 913-608-5659. You can also correspond with Natasha Lea Clark through the mailing address at 1601 E 28TH ST, TRENTON, MO - 64683-1178 (mailing address contact number: 660-359-4487).

Location: 6750 Antioch Rd Ste 210, Merriam, KS, 64683-1178
person
Provider Profile Details
NPI Number
1992341283
Provider Name
Natasha Lea Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6750 Antioch Rd Ste 210, Merriam, KS, 64683-1178
Phone Number
888-631-3938
Fax Number
913-608-5659
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376097246 05 KS
institution
Provider Business Practice Location Address Details
Address
6750 Antioch Rd Ste 210
City
State
Zip
66204-1260
Phone Number
888-631-3938
Fax Number
913-608-5659
person
Provider Business Mailing Address Details
Address
6750 Antioch Rd Ste 210
City
State
Zip
66204-1260
Phone Number
888-631-3938
Fax Number
913-608-5659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2015026281 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2940 (Kansas)
Definition
Definition to come...
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