person
Camillia Clark, COUI-9541
Mental Health Counselor in Idaho Falls, Idaho
NPI 1528840584

Camillia Clark is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Camillia Clark practices in Idaho Falls, ID and has the professional credentials of COUI-9541. The NPI Number for Camillia Clark is 1528840584 and holds a License No. COUI-9541 (Idaho).

The current practice location address for Camillia Clark is 452 D St, Idaho Falls, ID and can be reached out via phone at 208-552-0355 and via fax at 208-200-3201.

Location: 452 D St, Idaho Falls, ID, 83402-3531
person
Provider Profile Details
NPI Number
1528840584
Provider Name
Camillia Clark
Credential
COUI-9541
Provider Entity Type
Individual
Gender
Female
Address
452 D St, Idaho Falls, ID, 83402-3531
Phone Number
208-552-0355
Fax Number
208-200-3201
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
452 D St
City
State
Zip
83402-3531
Phone Number
208-552-0355
Fax Number
208-200-3201
person
Provider Business Mailing Address Details
Address
452 D St
City
State
Zip
83402-3531
Phone Number
208-552-0355
Fax Number
208-200-3201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
COUI-9541 (Idaho)
Definition
Definition to come...
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