Individual
KATHERINE A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-6089
Mailing address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-6089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2607484-TRNE
OH
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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