Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH R CLARK, LPCC
ActiveKEITH R CLARK, LPCC is a Professional Counselor healthcare provider located in DAYTON, Ohio. NPI 1902201809 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DAYTON, OH
Registration Details
- NPI Number
- 1902201809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2014 (11.779146862232 yrs)
- Last Updated
- Dec 11, 2019
- Licenses
-
C1300707TRNE (OH)E.1901518 (OH)
Practice Information
- Address
-
601 SOUTH EDWIN C MOSES BLVDDAYTON, OH, 454173424Browse OH providers · Browse ZIP 45417
- Phone
- 9377348333
- Fax
- 9372768269
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN FRALICK | — | 1548251325 |
| MRS. SHARON WALK | MA LPCC SC | 1356323653 |
| MS. DEBORAH R MCMULLEN | PCC-SC, LICDC, LSW | 1770568701 |
| MRS. DIANA D SCHULTZ | MSED PCC | 1578549952 |
| MRS. BETH A TAMBORSKI | MS PCC SC | 1144207283 |
| MRS. MICHELLE E PAULUS | MS | 1831177013 |
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.