Clark, Katherine Diane

Clark, Katherine Diane is an individual health care provider with primary practice located at 400 W Midland Ave Suite 202, Woodland Park CO 80863-3144. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Katherine Diane can be contacted via phone (719) 687-2880.

Contact Information

Primary practice address
400 W Midland Ave Suite 202 Woodland Park CO 80863-3144
Phone: (719) 687-2880
Fax: (719) 686-0738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1898 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 91681 Colorado

Profile Details

NPI number 1275791949
LBN Legal business name Clark, Katherine Diane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers