Individual
NATASHA LEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6750 ANTIOCH RD STE 210, MERRIAM, KS 66204-1260
(888) 631-3938
(913) 608-5659
Mailing address
1601 E 28TH ST, TRENTON, MO 64683-1178
(660) 359-4487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03700
KS
101YP2500X
Professional Counselor
2015026281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376097246
—
KS
Enumeration date
11/21/2019
Last updated
10/08/2025
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