National Provider Identifier
Katherine Patricia Clark, LMHC
Katherine Patricia Clark, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 922-2500.
Source: public NPPES record, last updated October 17, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1154089639
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 02, 2021
- Last Updated
- October 17, 2024
Practice Location
- 490 E Ridge RD
- Rochester, NY 14621-1297
Phone: (585) 922-2500
Specialties
- Mental Health Counselor (101YM0800X)
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Full Record
- NPI
- 1154089639
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Katherine
- Middle Name
- Patricia
- Credential
- LMHC
- Mailing Street Address
- 490 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1297
- Mailing Country
- US
- Mailing Phone
- (585) 922-2500
- Mailing Fax
- (585) 922-2646
- Practice Street Address
- 490 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1297
- Practice Country
- US
- Practice Phone
- (585) 922-2500
- Practice Fax
- (585) 922-2646
- Enumeration Date
- December 02, 2021
- Last Updated
- October 17, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- October 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)