Individual
MS. CHRISTY LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
3978 ARBOL CT, BOULDER, CO 80301-1752
(303) 578-8871
Mailing address
1530 LEE HILL RD, #7, BOULDER, CO 80304-0877
(303) 578-8871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5772
CO
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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