Individual provider · Type 1 NPI
Susan Marie Clark, M. ED.
Professional Counselor · Montesano, WA
NPI number
1245291079
Active
Practice location
12 Satsop Ct
Montesano, WA 98563-9785
Fax (360) 249-4149
Mailing address
PO Box 426
Aberdeen, WA 98520-0099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00039358 (WA) |
| Professional Counselor Primary | 101YP2500X | RC00039358 (WA) |
Professional Counselor: Definition to come...
About NPI 1245291079
Susan Marie Clark, M. ED.'s National Provider Identifier is 1245291079, issued on Mar 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Montesano, WA. The record was last updated on Jul 13, 2026.