person
Mr. Mark Lewis Clark
Peer Specialist in Vancouver, Washington
NPI 1427647494

Mark Lewis Clark is a Peer Specialist based in Vancouver, WA. Mark Lewis Clark practices in Vancouver, WA. The NPI Number for Mark Lewis Clark is 1427647494 and holds a License No. (Washington).

The current practice location address for Mark Lewis Clark is 1601 E 4Th Plain Blvd, Vancouver, WA and can be reached out via phone at 360-397-8246.

Location: 1601 E 4Th Plain Blvd, Vancouver, WA, 98661-3713
person
Provider Profile Details
NPI Number
1427647494
Provider Name
Mark Lewis Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 E 4Th Plain Blvd, Vancouver, WA, 98661-3713
Phone Number
360-397-8246
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E 4Th Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-397-8246
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E 4Th Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-397-8246
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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