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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHRISTOPHER TAD CLARK, M.ED.

Active Sole Proprietor

MR. CHRISTOPHER TAD CLARK, M.ED. is a Professional Counselor healthcare provider located in ROCK SPRINGS, Wyoming. NPI 1992053474 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ROCK SPRINGS, WY

Registration Details

NPI Number
1992053474
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2012 (13.955597388458 yrs)
Last Updated
Apr 28, 2020
Licenses
LPC-1198 (WY)
1198 (WY)
Sole Proprietor
Yes

Practice Information

Address
1471 DEWAR DR STE 204
ROCK SPRINGS, WY, 829015826
Browse WY providers · Browse ZIP 82901
Phone
3076303466
Fax
3073160228
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in ROCK SPRINGS, WY

Name Credential NPI
RHONDA MARIE KETTERING MS, NCC,LPC.CAP 1194803023
MS. DAPHNE DOYLE HOFELDT LPC 1558448738
DAVID LYLE BARKER LPC 1386858728
MS. LINDA JEAN ACKER MA, LPC 1285809111
DR. JAMES M. R. MAHAFFEY EDD 1801197975
JESSICA LEIGH CASTILLO MA, LPC 1205118528
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.