Individual
JUSTIN PAUL LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6300 N LUCERNE AVE, KANSAS CITY, MO 64151-3199
(505) 231-1997
Mailing address
108 EL CAMINO ST, RATON, NM 87740-3608
(505) 231-1997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0018890
CO
101YP2500X
Professional Counselor
Primary
2020041662
MO
Other
Enumeration date
03/16/2021
Last updated
09/16/2025
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