Individual provider · Type 1 NPI

Teresa Jill Clark

Community/Behavioral Health Agency · Spokane, WA

NPI number 1902179583 Active

Practice location

404 W 15th Ave
Spokane, WA 99203-2110

Fax (509) 747-0609

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1902179583

Teresa Jill Clark's National Provider Identifier is 1902179583, issued on Feb 13, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Spokane, WA. The record was last updated on Apr 25, 2026.