person
Katie Johnson Clark, MA,LPC,LMHC
Professional Counselor in Camas, Washington
NPI 1104173970

Katie Johnson Clark is a Professional Counselor based in Camas, WA and is specialized in Professional. Katie Johnson Clark practices in Camas, WA and has the professional credentials of MA,LPC,LMHC. The NPI Number for Katie Johnson Clark is 1104173970 and holds a License No. 61095149 (Washington).

The current practice location address for Katie Johnson Clark is 416 Ne Dallas St Ste 207, Camas, WA and can be reached out via phone at 503-781-1997 and via fax at 503-200-1138.

Location: 416 Ne Dallas St Ste 207, Camas, WA, 98607-2189
person
Provider Profile Details
NPI Number
1104173970
Provider Name
Katie Johnson Clark
Credential
MA,LPC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
416 Ne Dallas St Ste 207, Camas, WA, 98607-2189
Phone Number
503-781-1997
Fax Number
503-200-1138
Provider Enumeration Date
08/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
416 Ne Dallas St Ste 207
City
State
Zip
98607-2189
Phone Number
503-781-1997
Fax Number
503-200-1138
person
Provider Business Mailing Address Details
Address
416 Ne Dallas St Ste 207
City
State
Zip
98607-2189
Phone Number
503-781-1997
Fax Number
503-200-1138
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3201 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
61095149 (Washington)
Definition
Definition to come...
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