Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY CLARK
ActiveGREGORY CLARK is a Mental Health Counselor healthcare provider located in PRAIRIE DU CHIEN, Wisconsin. NPI 1164409728 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PRAIRIE DU CHIEN, WI
Registration Details
- NPI Number
- 1164409728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2005 (20.590170235438 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2888-125 (WI)
Practice Information
- Address
-
225 N BEAUMONT RDPRAIRIE DU CHIEN, WI, 538211445Browse WI providers · Browse ZIP 53821
- Phone
- 5632522537
- Fax
- 6083260420
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PRAIRIE DU CHIEN, WI
| Name | Credential | NPI |
|---|---|---|
| LYNETTE R KANSIER | — | 1275028953 |
| KYLA MARIE LUTHER | LPC-IT, CSAC, ICS | 1912524893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.