| Mr Christopher Tad Clark, MED | |
|
1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | |
| (307) 630-3466 | |
| (307) 316-0228 |
| Full Name | Mr Christopher Tad Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1471 Dewar Dr Ste 204, Rock Springs, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992053474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-1198 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 1198 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Tad Clark, MED 4000 Dewar Dr, Rock Springs, WY 82901-6218 Ph: (307) 382-3010 | Mr Christopher Tad Clark, MED 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 Ph: (307) 630-3466 |
Julie Anna Shockey, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Dewar Dr, Rock Springs, WY 82901 Phone: 307-630-3466 | |
Tina Sam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Katherine Bodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Miss Sadie Ann West, MS PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4000 Dewar Dr, Rock Springs, WY 82901 Phone: 307-382-3010 Fax: 307-382-6881 | |
Cynthia Hinds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 | |
Jerusha Dove Thompson, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Dewar Dr Ste 232, Rock Springs, WY 82901 Phone: 307-352-9161 | |
Mrs. Renee A Schroeder, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4000 Dewar Drive, Rock Springs, WY 82901 Phone: 307-382-3010 Fax: 307-382-6881 |