Individual provider · Type 1 NPI

Cary Ann Clark

Mental Health Counselor · Olympia, WA

NPI number 1477947190 Active

Practice location

2218 Jackson Ave NW
Olympia, WA 98502-4535

Call (270) 305-9625 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60303688 (WA)
Behavior Analyst 103K00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XSA60303385 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1477947190

Cary Ann Clark's National Provider Identifier is 1477947190, issued on Mar 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Mar 19, 2015.