Individual
MS. KYLE AMBER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, DCC, NCC
Contact information
Practice address
3059 S OGDEN ST, ENGLEWOOD, CO 80113-1749
(720) 642-6880
Mailing address
6198 CHRISTIAN KEMP DR N, FREDERICK, MD 21703-2718
(240) 720-7307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
123687
MD
101YP2500X
Professional Counselor
Primary
LC4454
MD
Other
Enumeration date
03/25/2013
Last updated
03/17/2018
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