Individual provider · Type 1 NPI

Nathaniel P. Clark, LCPC-C

Professional Counselor · Portland, ME

NPI number 1891155792 Active

Practice location

11 Baxter Blvd
Portland, ME 04101-1801

Call (207) 774-8700 Map

Fax (207) 422-7268

Other practice locations

  • 155 Center St, Building F, Auburn, ME 04210-5229 · (207) 777-5888
  • 1155 Lisbon St, Lewiston, ME 04240-5025 · (207) 783-9141

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC5420 (ME)
Counselor 101Y00000XXL4658 (ME)

Professional Counselor: Definition to come...

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About NPI 1891155792

Nathaniel P. Clark, LCPC-C's National Provider Identifier is 1891155792, issued on Mar 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Jan 9, 2024.