Individual
MISS MELISSA R GORSUCH-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
5301 TIETON DRIVE, SUITE C, C/O CATHOLIC FAMILY & CHILD SERVICE, YAKIMA, WA 98908-3478
(509) 965-7100
(509) 966-9750
Mailing address
5301 TIETON DRIVE, SUITE C, C/O CATHOLIC FAMILY & CHILD SERVICE, YAKIMA, WA 98908-3478
(509) 965-7100
(509) 966-9750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00045050
WA
1041C0700X
Clinical Social Worker
Primary
LW60145783
WA
1041C0700X
Clinical Social Worker
—
WA
Other
Enumeration date
10/25/2006
Last updated
11/06/2014
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