Individual provider · Type 1 NPI

Michael Clark

Mental Health Counselor · Hoquiam, WA

NPI number 1528625944 Active

Practice location

205 8th St
Hoquiam, WA 98550-2507

Mailing address

16233 Prairie Creek Loop SE
Yelm, WA 98597-7603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1528625944

Michael Clark's National Provider Identifier is 1528625944, issued on May 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hoquiam, WA. The record was last updated on May 21, 2019.