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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