Individual provider · Type 1 NPI
Katie Johnson Clark, MA, LPC, LMHC
Professional Counselor · Camas, WA
NPI number
1104173970
Active
Practice location
416 NE Dallas St Ste 208
Camas, WA 98607-2189
Fax (503) 200-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C3201 (OR) |
| Mental Health Counselor | 101YM0800X | 61095149 (WA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Camas
About NPI 1104173970
Katie Johnson Clark, MA, LPC, LMHC's National Provider Identifier is 1104173970, issued on Aug 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Camas, WA. The record was last updated on Jun 26, 2026.