Individual
SARAH MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(801) 690-0510
Mailing address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(801) 690-0510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10456
ID
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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