Individual provider · Type 1 NPI
Nicole Elizabeth Clark
Counselor · Portland, OR
NPI number
1023513637
Active
Practice location
3650 NE Mallory Ave Apt 309
Portland, OR 97212-3086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Counselor Primary | 101Y00000X | None listed |
Counselor: 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.
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About NPI 1023513637
Nicole Elizabeth Clark's National Provider Identifier is 1023513637, issued on Mar 26, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Dec 4, 2018.