Jim Clark is a Counselor based in Olympia, WA. Jim Clark practices in Lacey, WA. The NPI Number for Jim Clark is 1134694953 and holds a License No. SC60907499 (Washington).
The current practice location address for Jim Clark is 612 Woodland Square Loop Se Ste 401, Lacey, WA and can be reached out via phone at 360-763-5828.
Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA, 98513-5302
Provider Profile Details
NPI Number
1134694953
Provider Name
Jim Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
612 Woodland Square Loop Se Ste 401, Lacey, WA, 98513-5302
Phone Number
360-763-5828
Fax Number
Provider Enumeration Date
10/08/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
612 Woodland Square Loop Se Ste 401
City
State
Zip
98503-1070
Phone Number
360-763-5828
Fax Number
Provider Business Mailing Address Details
Address
612 Woodland Square Loop Se Ste 401
City
State
Zip
98503-1070
Phone Number
360-763-5828
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
SC60907499 (Washington)
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.
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