Individual
RETA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
(859) 813-5394
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
260000
KY
Other
Enumeration date
01/16/2017
Last updated
12/05/2025
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