Individual
KRISTEN JOY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
590 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 582-1565
Mailing address
590 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
8281160-3501
UT
Other
Enumeration date
06/26/2012
Last updated
03/26/2026
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