Dorthea A Clark, MAINMENTALHEALTH
Dorthea A Clark, MAINMENTALHEALTH is a Mental Health Counselor in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2023
Practice location Address checks out
4025 Rawlins StCheyenne, WY 82001-1900
Phone: (307) 426-4797
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PPC-1416 (WY) |
|---|
Record details
| NPI number | 1154196665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAINMENTALHEALTH |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2023 |
| Last updated in NPPES | November 15, 2023 |
| Certification date | October 23, 2023 |
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