Individual provider · Type 1 NPI

Cassandra Ann Clark, B.A.

Mental Health Counselor · Davenport, WA

NPI number 1114040979 Active

Practice location

49 Park Street
Davenport, WA 99122-0421

Call (509) 725-4900 Map

Fax (509) 725-4901

Mailing address

PO Box 502, 815 SE Trinity
Wilbur, WA 99185-0502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00023755 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1114040979

Cassandra Ann Clark, B.A.'s National Provider Identifier is 1114040979, issued on Apr 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, WA. The record was last updated on Jul 8, 2007.