Individual
CHRISTOPHER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
944 N MAIN STREET, NEPHI, UT 84648
(435) 623-1456
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9903821-3501
UT
171M00000X
Case Manager/Care Coordinator
9903821-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2015
Last updated
06/01/2026
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