Courtney L Clark ,lcmft, Llc

NPI 1144596214 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1144596214
Enumeration Date 03/22/2012
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LORRY LORRY
Position BILLING MANAGER
Phone (316) 788-8510
Fax (316) 788-8543
Practice Location
920 N ROCK RD
DERBY KS, 67037-3552, US
Phone (316) 788-8510
Fax (316) 788-8543
Business Location
920 N ROCK RD
DERBY KS, 67037-3552, US
Phone (316) 788-8510
Fax (316) 788-8543
Toxanomy
Taxonomy Code 106H00000X
License State Kansas
License Number 328
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According to our database, Courtney L Clark ,lcmft, Llc NPI is 1144596214, taxonomy code is 106H00000X and license number is 328, license state is located at Kansas. Courtney L Clark ,lcmft, Llc physically located at 920 N Rock Rd, Derby KS, 67037-3552. NPI Number 1033115704 has the healthcare provider type.

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1144596214 NPI number is provided on an as is basis without warranty of any kind. 1144596214 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney L Clark ,lcmft, Llc are for informational purposes only.