Clark, Kessalyn Rae

Clark, Kessalyn Rae is an individual health care provider with primary practice located at 501 Euclid Ave , Helena MT 59601-2865. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Kessalyn Rae can be contacted via phone (406) 442-9244.

Contact Information

Primary practice address
501 Euclid Ave Helena MT 59601-2865
Phone: (406) 442-9244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-LAC-LIC-31878 Montana
Behavioral Health & Social Service Providers / Professional 101YP2500X BBH-LCSW-LIC-55626 Montana

Profile Details

NPI number 1871071639
LBN Legal business name Clark, Kessalyn Rae
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Mar 15th, 2023 - about 3 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

Identifiers

StateTypeNumberIssuer
All States NPI 1871071639 NPPES
Montana Other 92-2641389 IRS

Popular Providers