| Katherine Diane Clark, LPC | |
|
400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | |
| (719) 687-2880 | |
| (719) 686-0738 |
| Full Name | Katherine Diane Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 400 W Midland Ave, Woodland Park, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275791949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1898 (Colorado) | Primary |
| 163W00000X | Registered Nurse | 91681 (Colorado) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Diane Clark, LPC 220 Ruskin Dr, Colorado Springs, CO 80910-2522 Ph: (719) 572-6150 | Katherine Diane Clark, LPC 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 Ph: (719) 687-2880 |
Kelly J Echols, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 W Midland Ave Ste 155, Woodland Park, CO 80863 Phone: 719-650-8114 | |
Mrs. Danelle Dawn Jackson-stith, BCABA Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 Piney Point Ln, Woodland Park, CO 80863 Phone: 719-648-3785 | |
Lindsey Doering, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2d, Woodland Park, CO 80863 Phone: 719-286-9077 | |
Ms. Brenda G. Demouchet, LPC Counselor Medicare: Medicare Enrolled Practice Location: 87 Piney Point Ln, Woodland Park, CO 80863 Phone: 719-687-8214 | |
Jerilyn L Yingling, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W Midland Ave Ste 250d, Woodland Park, CO 80863 Phone: 719-686-6703 Fax: 719-686-6704 | |
Candice Berger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Scott Ave Ste 2b, Woodland Park, CO 80863 Phone: 719-201-8714 | |
Tamra Lee Bok, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Valley View Dr, Woodland Park, CO 80863 Phone: 719-661-9323 Fax: 719-434-9930 |