Individual provider · Type 1 NPI
Katie A. Clark
Mental Health Counselor · Pendleton, OR
NPI number
1215890710
Active
Practice location
1416 SW 46th St
Pendleton, OR 97801-3721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1215890710
Katie A. Clark's National Provider Identifier is 1215890710, issued on Dec 3, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pendleton, OR. The record was last updated on Dec 3, 2025.