Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kailen Matthew Clark

Individual provider Mental Health Counselor · NPI 1255121141

Kailen Matthew Clark is a Mental Health Counselor in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone: (314) 469-4908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1255121141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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