Individual
MR. CLINTON BENJAMIN CLARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8321 SANGRE DE CRISTO RD STE 200, LITTLETON, CO 80127-6426
(303) 618-6745
Mailing address
8321 SANGRE DE CRISTO RD STE 200, LITTLETON, CO 80127-6426
(303) 618-6745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0004746
CO
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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