MS. Kimberly Sue Clark, QMHP

NPI #1508210915 in Klamath Falls, Oregon

Provider Information

NPI Number: 1508210915
Entity Type: Individual
Name: MS. Kimberly Sue Clark, QMHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: QMHP
Enumeration Date: Apr 21, 2016
Last Updated: Mar 14, 2023

Practice Location

Address: 905 MAIN ST STE 512
City: Klamath Falls
State: Oregon
ZIP Code: 97601-6062
Phone: (541) 591-9392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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