Keith R Clark is a Dayton, Ohio based counselor who is specialized as Mental Health Counselor. Active license number of Keith R Clark is E.1901518 for Professional Counselor in Ohio. His current practice location is 601 South Edwin C Moses Blvd, Dayton. Patients can book an appointment with him at 937-734-8333.
Keith R Clark is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Keith R Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Keith R Clark
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
LPCC
Accepts Medicare Assignment:
No
Practice Address:
601 South Edwin C Moses Blvd, Dayton, Ohio, 45417-3424
Phone:
937-734-8333
Fax:
937-276-8269
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902201809
NPI Enumeration Date:
04 Nov, 2014
NPI Last Update On:
11 Dec, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith R Clark are as mentioned below.
License Number
Specialization
State
Status
E.1901518
Professional Counselor
Ohio
Primary
C1300707TRNE
Mental Health Counselor
Ohio
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
601 South Edwin C Moses Blvd, Dayton, Ohio
Zip:
45417-3424
Phone Number:
937-734-8333
Fax Number:
937-276-8269
Patients can reach Keith R Clark at 601 South Edwin C Moses Blvd, Dayton, Ohio or can call to book an appointment on 937-734-8333. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.