Individual provider · Type 1 NPI

Charles Michael Clark Ii, LMHC

Mental Health Counselor · Fircrest, WA

NPI number 1043688583 Active

Practice location

6314 19th St W Ste 7
Fircrest, WA 98466-6223

Mailing address

4404 Pacific St SW
Lakewood, WA 98499-4244

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043688583

Charles Michael Clark Ii, LMHC's National Provider Identifier is 1043688583, issued on Sep 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fircrest, WA. The record was last updated on Mar 4, 2021.