Individual provider · Type 1 NPI

Dejane Clark, LAPC, LMHCA, SUDPT

Mental Health Counselor · Federal Way, WA

NPI number 1801625207 Active

Practice location

700 S 320th St Ste A
Federal Way, WA 98003-4691

Call (206) 550-3455 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCO61654772 (WA)
Mental Health Counselor 101YM0800XAPC009814 (GA)
Mental Health Counselor Primary 101YM0800XMC61654754 (WA)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1801625207

Dejane Clark, LAPC, LMHCA, SUDPT's National Provider Identifier is 1801625207, issued on Aug 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Federal Way, WA. The record was last updated on Feb 5, 2026.