Most Relevant Information
Provider Data
NPI Number: | 1003384843 |
Provider Name: | TOMAS CLARKE MA, LPC |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | LPC.0016653 |
Most Important Dates
Enumeration Date: | 11/09/2018 |
Last Updated: | 01/15/2021 |
Provider Practice Location
3035 W 25TH AVE
DENVER
CO
802114635
Practice Location Phone/Fax
Phone: | 7204468783 |
Fax: |
Provider Mailing Location
6790 E CEDAR AVE APT 311
DENVER
CO
802241170
Provider Mailing Phone/Fax
Phone: | 7204468783 |
Fax: |