| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KORI CLARK | 1174886808 | 2024-01-06 |
Kori Clark is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174886808. Registration indicates Kori Clark is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Kori Clark |
| Practice Office Address | 1724 VINE ST DENVER, CO US |
| Practice Office Telephone | 5039970024 |
| Mailing Address | 9374 ALANGO RD ANGORA, MN 557034701 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4891 Independence St | Wheat Ridge, CO 800336752 | 3034560600 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |