Individual provider · Type 1 NPI

Nikki Thomas Clark, BS, QMHA

Mental Health Counselor · Bend, OR

NPI number 1750557799 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750557799

Nikki Thomas Clark, BS, QMHA's National Provider Identifier is 1750557799, issued on Apr 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Apr 30, 2008.