Individual
EMILY KATHRINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5725 HIGHLAND DR, CASPER, WY 82609-4382
(307) 265-3977
Mailing address
2980 PHEASANT DR, CASPER, WY 82604-4305
(307) 247-0585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PPC-1170
WY
101YP2500X
Professional Counselor
Primary
LPC-2019
WY
Other
Enumeration date
01/15/2020
Last updated
01/20/2025
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