Organization
INTEGRATIVE COUNSELING AND ART THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI CLARK LPC (OWNER)
(503) 997-0024
Entity
Organization
Contact information
Practice address
1724 VINE ST, DENVER, CO 80206-1120
(503) 997-0024
Mailing address
9374 ALANGO RD, ANGORA, MN 55703-4701
(503) 997-0024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
01/06/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up