Keith R Clark, LPCC
Keith R Clark, LPCC is a Mental Health Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2014.
- Licensed in
- OH
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LPCC — Licensed Professional Clinical Counselor
- The title some states use for a licensed clinical counsellor.
Practice location Address checks out
601 S Edwin C Moses BlvdDayton, OH 45417-3424
Phone: (937) 734-8333
Fax: (937) 276-8269
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence E.1901518 (OH) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence C1300707TRNE (OH) |
Record details
| NPI number | 1902201809 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCC |
| Sole proprietor | No |
| NPI enumerated | November 4, 2014 |
| Last updated in NPPES | December 11, 2019 |
| Certification date | December 11, 2019 |
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Mr. Joseph L Cimoch, LPCC-S
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Elizabeth A. H. Collins
601 S Edwin C Moses Blvd Fourth Fl NW Bldg, Dayton, OH 45408-1424 · (937) 276-8333
-
Suzanne B Collins
601 S Edwin C Moses Blvd First Fl NW Bldg, Dayton, OH 45408-1424 · (937) 224-4646