Individual provider · Type 1 NPI

Lisa Ann Clark

Addiction (Substance Use Disorder) Counselor · Port Angeles, WA

NPI number 1043137961 Active

Practice location

716 S Chase St
Port Angeles, WA 98362-6122

Mailing address

2605 Calawah Way
Forks, WA 98331-9712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61519991 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043137961

Lisa Ann Clark's National Provider Identifier is 1043137961, issued on Jul 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 1, 2026.