Individual
CRYSTAL MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 347-3280
Mailing address
1602 SOUTHWEST BLVD, KANSAS CITY, KS 66103-1749
(479) 601-4036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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