Mr Craig Steven Clark, MS, LPCC | |
2525 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4708 | |
(515) 289-9136 | |
(515) 289-9139 |
Full Name | Mr Craig Steven Clark |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2525 N Ankeny Blvd Ste 113, Ankeny, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780165696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 124790 (Iowa) | Primary |
101YP2500X | Counselor - Professional | 1892 (Minnesota) | Secondary |
Entity Name | Associated Clinic Of Psychology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833 |
Mailing Address | Practice Location Address |
---|---|
Mr Craig Steven Clark, MS, LPCC 2525 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4708 Ph: (612) 437-1142 | Mr Craig Steven Clark, MS, LPCC 2525 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4708 Ph: (515) 289-9136 |
Allyson Arenivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 N Ankeny Blvd Ste 100, Ankeny, IA 50023 Phone: 839-951-5255 | |
Bridget Dewitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Sw Ankeny Rd, Ankeny, IA 50023 Phone: 515-979-7738 | |
Brittnay Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2785 N Ankeny Blvd Ste 25, Ankeny, IA 50023 Phone: 515-337-1764 | |
Kendall Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Ankeny Blvd Ste 101, Ankeny, IA 50023 Phone: 515-989-8266 | |
Ms. Dorothy Anne Anderson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3109 Sw Woodfield Ln, Ankeny, IA 50023 Phone: 515-963-0222 | |
Shannon Marie Haley-funcke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 W 1st St Ste B, Ankeny, IA 50023 Phone: 515-620-3192 | |
Mr. Matthew Michael Ness, MHC, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw School St, Ankeny, IA 50023 Phone: 515-964-5003 Fax: 515-964-3856 |