Michael Clark
NPI #1528625944 in Hoquiam, Washington
Provider Information
- NPI Number
- 1528625944
- Entity Type
- Individual
- Name
- Michael Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 21, 2019
- Last Updated
- May 21, 2019
Practice Location
- Address
- 205 8TH ST
- City
- Hoquiam
- State
- Washington
- ZIP Code
- 98550-2507
- Phone
- (360) 704-7170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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