National Provider Identifier Database

WAYLON CLARK
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

WAYLON CLARK
750 MORRIS RD SE
LOS LUNAS, NM87031-5242
Phone: 505-866-2318
Fax:
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for WAYLON CLARK

NPI Number 1821331125
Credentials
Entity Individual
Enumeration date 04/04/2013
Last updated 04/04/2013 - About 13 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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