Individual
MR. MICHAEL KEVIN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
1600 LENA ST STE C16, SANTA FE, NM 87505-4339
(505) 220-5589
Mailing address
1600 LENA ST STE C16, SANTA FE, NM 87505-4339
(505) 220-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0184461
NM
Other
Enumeration date
09/29/2016
Last updated
05/10/2026
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