Individual
KATELYN E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8805 W 14TH AVE STE 300, LAKEWOOD, CO 80215-4848
(720) 943-7080
(720) 316-7577
Mailing address
8805 W 14TH AVE STE 300, LAKEWOOD, CO 80215-4848
(720) 943-7080
(720) 316-7577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002029
CO
Other
Enumeration date
11/04/2020
Last updated
02/28/2023
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