ROGER BRENT CLARK

CEDAR CITY, UT
NPI1578212536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: UT  11534461-6009)
Enumeration Date2022-03-18
Last Update Date2022-03-18
Business Address
ROGER BRENT CLARK ACMHC
440 N PAIUTE DR
CEDAR CITY, UT 84721-6181
Phone number: 435-586-1112
Mailing Address
ROGER BRENT CLARK ACMHC
440 N PAIUTE DR
CEDAR CITY, UT 84721-6181
Phone number: 435-586-1112