Individual
MR. CHRISTOPHER ALEX CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
900 CORBITT DR, WILMORE, KY 40390-1096
(859) 806-9813
Mailing address
900 CORBITT DR, WILMORE, KY 40390-1096
(859) 806-9813
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
169304
KY
Other
Enumeration date
10/03/2013
Last updated
07/22/2020
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