Individual provider · Type 1 NPI
Mellisa A. Clark
Counselor · Tacoma, WA
NPI number
1376987370
Active
Practice location
1019 Pacific Ave Ste 1022
Tacoma, WA 98402-4491
Mailing address
1020 S Oxford St
Tacoma, WA 98465-1832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | MC60309925 (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.
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About NPI 1376987370
Mellisa A. Clark's National Provider Identifier is 1376987370, issued on Apr 20, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tacoma, WA. The record was last updated on Feb 10, 2015.