Keith R Clark , LPCC
Counselor - Professional • Dayton, OH
Professional Overview & Biography Verified Profile Summary
Keith Clark, LPCC is a registered healthcare professional specializing in Counselor - Professional in Dayton, OH. Practice services are available at 601 SOUTH EDWIN C MOSES BLVD under active NPI credentials.
Practice Location & Contact Primary Location
601 South Edwin C Moses Blvd
Dayton, OH 454173424
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Dayton, OH
Practicing in Dayton, OH (6923 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2019-12-11NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Counselor - Mental Health
Licensed Professional Counselor
Counselor - Professional
Licensed Professional Clinical Counselor
Counselor - Mental Health
Counselor - Addiction (Substance Use Disorder)
LCDCII
Case Manager/Care Coordinator
QMHSOMS
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 454173424 (Tel: 9377348333)
Registered at 601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 454173424 (Tel: 9377348333)
Recorded as KEITH CLARK, LPCC
NPI status registered as active in NPPES database
Registered at 280 LOONEY ROAD, SUITE 204, PIQUA, OH 45356 (Tel: 9374407121)
Registered at 601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC., 4TH FLOOR NW BLDG, DAYTON, OH 454173424 (Tel: 9377348333)
Recorded as KEITH CLARK
Counselor (License #C1300707TRNE in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
601 South Edwin C Moses Blvd
Dayton, OH 454173424
Phone: 9377348333
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