person
Nicklaus Clark, LPC,LMHC
Professional Counselor in Gresham, Oregon
NPI 1407251408

Nicklaus Clark is a Professional Counselor based in Portland, OR and is specialized in Professional. Nicklaus Clark practices in Gresham, OR and has the professional credentials of LPC,LMHC. The NPI Number for Nicklaus Clark is 1407251408 and holds a License No. LH60497951 (Oregon).

The current practice location address for Nicklaus Clark is 1700 Nw Civic Dr, Gresham, OR and can be reached out via phone at 503-233-5405.

Location: 1700 Nw Civic Dr, Gresham, OR, 97282-0819
person
Provider Profile Details
NPI Number
1407251408
Provider Name
Nicklaus Clark
Credential
LPC,LMHC
Provider Entity Type
Individual
Gender
Male
Address
1700 Nw Civic Dr, Gresham, OR, 97282-0819
Phone Number
503-233-5405
Fax Number
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 Nw Civic Dr
City
State
Zip
97030-3770
Phone Number
503-233-5405
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Nw Civic Dr
City
State
Zip
97030-3770
Phone Number
503-233-5405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3550 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LH60497951 (Washington)
Definition
Definition to come...
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