Search › Maine › 101YP2500X
Nathaniel Clark, LCPC-C
NPI 1891155792 · on the registry since 2016
Practice
- Address
- 11 Baxter Blvd
Portland, ME 04101 - Phone
- (207) 774-8700
- Fax
- (207) 422-7268
- Organisation at this address
- Catholic Charities Maine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Additional practice sites
- 155 Center St, Auburn, ME
- 1155 Lisbon St, Lewiston, ME
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-09
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 Maine