Individual
KAYLA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
942 SEARCY WAY, BOWLING GREEN, KY 42103-7168
(270) 781-8112
(270) 781-8114
Mailing address
942 SEARCY WAY, BOWLING GREEN, KY 42103-7168
(270) 781-8112
(270) 781-8114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
166091
KY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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