Individual
CHRISTOPHER KYLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CENTER ST STE 401, CHICOPEE, MA 01013-2784
(413) 437-9145
Mailing address
294 POTWINE LN, AMHERST, MA 01002-3310
(630) 310-0929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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