Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW CLARK
Active Sole ProprietorMATTHEW CLARK is a Professional Counselor healthcare provider located in WINDSOR, Connecticut. NPI 1417353996 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WINDSOR, CT
Registration Details
- NPI Number
- 1417353996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2014 (11.739772612865 yrs)
- Last Updated
- Jan 5, 2017
- License
-
002674 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
360 BLOOMFIELD AVESTE 301WINDSOR, CT, 060952700Browse CT providers · Browse ZIP 06095
- Phone
- 8606073235
- Fax
- 8606073201
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in WINDSOR, CT
| Name | Credential | NPI |
|---|---|---|
| MICHAEL WILSON | LPC | 1861562399 |
| COURTNEY SHEEHAN | LPC | 1558411082 |
| SUSAN KEHAYA | LPC | 1205096294 |
| JOYCE A ERICKSON | LPC | 1043533557 |
| MS. HELENA E. GAGNON | — | 1356697742 |
| MR. DEREK JAMES WILSON | LPC | 1114348729 |
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.