Organization
BLUE STAR COUNSELING, PLLC
Active
Organization
BLUE STAR COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY DUANE CLARK MSW, LICSW (CLINICAL SOCIAL WORKER)
(562) 999-2024
Entity
Organization
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(562) 999-2024
Mailing address
725 OSPREY DR, CHENEY, WA 99004-5222
(509) 953-0358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
08/21/2024
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