Individual
MR. CRAIG STEVEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2525 N. ANKENY BLVD, SUITE 113, ANKENY, IA 50023-4708
(515) 289-9136
(515) 289-9139
Mailing address
2525 N. ANKENY BLVD, SUITE 113, ANKENY, IA 50023-4708
(515) 289-9136
(515) 289-9139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
124790
IA
101YP2500X
Professional Counselor
Primary
124790
IA
101YP2500X
Professional Counselor
1892
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421348
—
IA
Enumeration date
08/28/2018
Last updated
12/17/2025
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