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Tina Clark
NPI 1104030899 · on the registry since 2007
Practice
- Address
- 135 W Main St
Chehalis, WA 98532 - Phone
- (360) 748-6696
- Clinicians at this address
- 73
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington