person
Michael Clark
Mental Health Counselor in Hoquiam, Washington
NPI 1528625944

Michael Clark is a Mental Health Counselor based in Yelm, WA and is specialized in Mental Health. Michael Clark practices in Hoquiam, WA. The NPI Number for Michael Clark is 1528625944 and holds a License No. (Washington).

The current practice location address for Michael Clark is 205 8Th St, Hoquiam, WA and can be reached out via phone at 360-704-7170.

Location: 205 8Th St, Hoquiam, WA, 98597-7603
person
Provider Profile Details
NPI Number
1528625944
Provider Name
Michael Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 8Th St, Hoquiam, WA, 98597-7603
Phone Number
360-704-7170
Fax Number
Provider Enumeration Date
05/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100975 05 WA
institution
Provider Business Practice Location Address Details
Address
205 8Th St
City
State
Zip
98550-2507
Phone Number
360-704-7170
Fax Number
person
Provider Business Mailing Address Details
Address
205 8Th St
City
State
Zip
98550-2507
Phone Number
360-704-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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