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ROGER BRENT CLARK ACMHC NPI 1578212536


NPI Information

NPI: 1578212536
Provider Name: ROGER BRENT CLARK, ACMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
440 N PAIUTE DR
CEDAR CITY, UT
ZIP 84721
Phone: (435) 586-1112
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Roger Brent Clark, ACMHC is a mental health counselor in Cedar City, UT. Roger Brent Clark, ACMHC NPI is 1578212536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 N PAIUTE DR
CEDAR CITY, UT
ZIP 84721-181
Phone: (435) 586-1112

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health11534461-6009UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.