person
Paul Thomas Clark
Mental Health Counselor in Colville, Washington
NPI 1841569878

Paul Thomas Clark is a Mental Health Counselor based in Colville, WA and is specialized in Mental Health. Paul Thomas Clark practices in Colville, WA. The NPI Number for Paul Thomas Clark is 1841569878 and holds a License No. CG60155910 (Washington).

The current practice location address for Paul Thomas Clark is 165 E Hawthorne Ave, Colville, WA and can be reached out via phone at 509-684-4597 and via fax at 509-684-5286.

Location: 165 E Hawthorne Ave, Colville, WA, 99114-2629
person
Provider Profile Details
NPI Number
1841569878
Provider Name
Paul Thomas Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 E Hawthorne Ave, Colville, WA, 99114-2629
Phone Number
509-684-4597
Fax Number
509-684-5286
Provider Enumeration Date
12/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
509-684-5286
person
Provider Business Mailing Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
509-684-5286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60155910 (Washington)
Definition
Definition to come...
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