MR. Kent William Clark

NPI #1700406527 in Dubois, Pennsylvania

Provider Information

NPI Number: 1700406527
Entity Type: Individual
Name: MR. Kent William Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 22, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 490 JEFFERS STREET
City: Dubois
State: Pennsylvania
ZIP Code: 15801
Phone: (814) 731-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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