Katie Johnson Clark, MA, LPC, LMHC

NPI #1104173970 in Camas, Washington

Provider Information

NPI Number: 1104173970
Entity Type: Individual
Name: Katie Johnson Clark, MA, LPC, LMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA, LPC, LMHC
Enumeration Date: Aug 10, 2012
Last Updated: Dec 1, 2023

Practice Location

Address: 416 NE DALLAS ST STE 207
City: Camas
State: Washington
ZIP Code: 98607-2189
Phone: (503) 781-1997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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