JEFFREY SCOTT CLARK LMHC NPI 1619505914

NPI Information

NPI: 1619505914
Provider Name: JEFFREY SCOTT CLARK, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
402 E YAKIMA AVE STE 800-C
YAKIMA, WA
ZIP 98901
Phone: (509) 833-7528
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Jeffrey Scott Clark, LMHC is a mental health counselor in Yakima, WA. Jeffrey Scott Clark, LMHC NPI is 1619505914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

402 E YAKIMA AVE STE 800-C
YAKIMA, WA
ZIP 98901-407
Phone: (509) 833-7528
Fax: (509) 457-2756

The enumeration date for this NPI number is 3/31/2020 and was last updated on 4/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH61052282	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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