Individual
KEVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5310 WARD RD STE 110, ARVADA, CO 80002-1829
(720) 898-3208
Mailing address
5310 WARD RD STE 110, ARVADA, CO 80002-1829
(720) 898-3208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0020606
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000231862
—
CO
Enumeration date
05/03/2024
Last updated
09/17/2025
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