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Individual
DR. NINA CLARK
Active
Individual
DR. NINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
173084
AK
101YM0800X
Mental Health Counselor
C10778
OR
101YM0800X
Mental Health Counselor
MHPL.MX.70036452
WA
Other
Enumeration date
07/16/2021
Last updated
06/10/2026
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