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Individual
MR. MICHAEL CLARKE
Active
Individual
MR. MICHAEL CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60917997
WA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133350
—
WA
Enumeration date
07/27/2017
Last updated
05/13/2025
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