Kevin Clark, LMHC
Counselor, Mental Health in Raynham, MA. Individual provider (NPI-1).
NPI number1487913232
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1487913232
- Entity type
- Individual (NPI-1)
- Name
- Kevin Clark
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2012
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1244 BroadwayRaynham, MA 02767-1973
Phone 508-202-1811
Mailing address
269 Greenville Ave Ste EJohnston, RI 02919-2656
Phone 401-251-7200
Other practice locations
269 Greenville Ave Ste E
Johnston, RI 02919-2656
Johnston, RI 02919-2656
Phone 401-251-7200
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