Individual provider · Type 1 NPI

Kimberly Sue Clark, QMHP

Counselor · Klamath Falls, OR

NPI number 1508210915 Active

Practice location

905 Main St Ste 512
Klamath Falls, OR 97601-6062

Call (541) 591-9392 Map

Fax (541) 833-0934

Mailing address

1500 Addison St
Klamath Falls, OR 97601-2504

Other practice locations

  • 1741 Austin St, Klamath Falls, OR 97603-4621 · (541) 851-6156
  • 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 · (541) 883-3471

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17-04-02 (OR)
Counselor Primary 101Y00000XR6418 (OR)
Counselor 101Y00000XNone listed

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 1508210915

Kimberly Sue Clark, QMHP's National Provider Identifier is 1508210915, issued on Apr 21, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Mar 14, 2023.