Individual provider · Type 1 NPI
Timothy K. Clark, MA DCR
Counselor · Clinton, WA
NPI number
1265501829
Active
Practice location
6341 Kyllenon Hill Rd
Clinton, WA 98236-8633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | RC00029171 (WA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1265501829
Timothy K. Clark, MA DCR's National Provider Identifier is 1265501829, issued on Nov 7, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clinton, WA. The record was last updated on Jul 8, 2007.