Individual provider · Type 1 NPI

Laura Marie Clark, MSW, MA

Mental Health Counselor · Vancouver, WA

NPI number 1760715148 Active

Practice location

3200 NE 109th Ave
Vancouver, WA 98682-7749

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1760715148

Laura Marie Clark, MSW, MA's National Provider Identifier is 1760715148, issued on Sep 16, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Mar 27, 2023.