person
Mrs. Mariko Fukuyama Clark, LMHC
Mental Health Counselor in Portland, Oregon
NPI 1467819904

Mariko Fukuyama Clark is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Mariko Fukuyama Clark practices in Portland, OR and has the professional credentials of LMHC. The NPI Number for Mariko Fukuyama Clark is 1467819904 and holds a License No. LH60601506 (Oregon).

The current practice location address for Mariko Fukuyama Clark is 3706 Sw Beaverton Ave, Portland, OR and can be reached out via phone at 503-961-3829.

Location: 3706 Sw Beaverton Ave, Portland, OR, 97239-1506
person
Provider Profile Details
NPI Number
1467819904
Provider Name
Mariko Fukuyama Clark
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
3706 Sw Beaverton Ave, Portland, OR, 97239-1506
Phone Number
503-961-3829
Fax Number
Provider Enumeration Date
01/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3706 Sw Beaverton Ave
City
State
Zip
97239-1506
Phone Number
503-961-3829
Fax Number
person
Provider Business Mailing Address Details
Address
3706 Sw Beaverton Ave
City
State
Zip
97239-1506
Phone Number
503-961-3829
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60601506 (Washington)
Definition
Definition to come...
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