MR. Christopher Tad Clark, M.ED.
NPI #1992053474 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1992053474
- Entity Type
- Individual
- Name
- MR. Christopher Tad Clark, M.ED.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.ED.
- Enumeration Date
- Aug 15, 2012
- Last Updated
- Apr 28, 2020
Practice Location
- Address
- 1471 DEWAR DR STE 204
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-5826
- Phone
- (307) 630-3466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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