Nicole Elizabeth Clark - Portland, OR

Nicole Elizabeth Clark

Counselor in Portland, Oregon

NPI 1023513637

Nicole Elizabeth Clark is a Counselor based in Portland, OR. Nicole Elizabeth Clark practices in Portland, OR. The NPI Number for Nicole Elizabeth Clark is 1023513637 and holds a License No. (Oregon).

The current practice location address for Nicole Elizabeth Clark is 3650 Ne Mallory Ave Apt 309, Portland, OR and can be reached out via phone at 971-331-0422.

Location: 3650 Ne Mallory Ave Apt 309, Portland, OR, 97212-3086

NPI Number

1023513637

Provider Name

Nicole Elizabeth Clark

Credential

Provider Entity Type

Individual

Gender

Female

Address

3650 Ne Mallory Ave Apt 309, Portland, OR, 97212-3086

Phone Number

971-331-0422

Fax Number

Provider Enumeration Date

03/26/2018

Last Update Date

03/10/2024

Address

3650 Ne Mallory Ave Apt 309

City

Portland

State

Oregon

Zip

97212-3086

Phone Number

971-331-0422

Fax Number

Address

3650 Ne Mallory Ave Apt 309

City

Portland

State

Oregon

Zip

97212-3086

Phone Number

971-331-0422

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

()

Definition

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.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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