Individual provider · Type 1 NPI

Colleen E. Clark, LCPC/C

Counselor · Portland, ME

NPI number 1699336271 Active

Practice location

901 Washington Ave Ste 100
Portland, ME 04103-2842

Call (207) 871-1200 Map

Fax (207) 871-1232

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XXL5223 (ME)

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 1699336271

Colleen E. Clark, LCPC/C's National Provider Identifier is 1699336271, issued on Jun 25, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, ME. The record was last updated on Jun 25, 2019.