Keith R Clark, LPCC is a professional counselor in Dayton, OH. Keith R Clark, LPCC NPI is 1902201809. 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:
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH
ZIP 45417-424
Phone: (937) 734-8333
Fax: (937) 276-8269
The enumeration date for this NPI number is 11/4/2014 and was last updated on 12/11/2019.