Clark Powell, L.C.S.W

NPI 1245543313 · on the registry since 2010 · sole proprietor

Practice

Address: 21260 North 1450 East
Moroni, UT 84646
Phone: (435) 851-6821
Organisation at this address: Trevor Hansen
Skyline Treatment
Lighthouse Academy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah