person
Nathaniel P Clark, LCPC-C
Counselor in Portland, Maine
NPI 1891155792

Nathaniel P Clark is a Counselor based in Portland, ME. Nathaniel P Clark practices in Portland, ME and has the professional credentials of LCPC-C. The NPI Number for Nathaniel P Clark is 1891155792 and holds a License No. CC5420 (Maine).

The current practice location address for Nathaniel P Clark is 11 Baxter Blvd, Portland, ME and can be reached out via phone at 207-774-8700 and via fax at 207-422-7268.

Location: 11 Baxter Blvd, Portland, ME, 04101-1801
person
Provider Profile Details
NPI Number
1891155792
Provider Name
Nathaniel P Clark
Credential
LCPC-C
Provider Entity Type
Individual
Gender
Male
Address
11 Baxter Blvd, Portland, ME, 04101-1801
Phone Number
207-774-8700
Fax Number
207-422-7268
Provider Enumeration Date
03/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Baxter Blvd
City
State
Zip
04101-1801
Phone Number
207-774-8700
Fax Number
207-422-7268
person
Provider Business Mailing Address Details
Address
11 Baxter Blvd
City
State
Zip
04101-1801
Phone Number
207-774-8700
Fax Number
207-422-7268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
XL4658 (Maine)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC5420 (Maine)
Definition
Definition to come...
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