Gregory Clark
Gregory Clark is a Mental Health Counselor in Prairie Du Chien, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
225 N Beaumont RdPrairie Du Chien, WI 53821-1445
Phone: (563) 252-2537
Fax: (608) 326-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 2888-125 (WI) |
|---|
Record details
| NPI number | 1164409728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 26, 2005 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 |