Individual
SUSAN MARIE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
12 SATSOP CT, MONTESANO, WA 98563-9785
(360) 249-4149
(360) 249-4149
Mailing address
PO BOX 426, ABERDEEN, WA 98520-0099
(360) 249-4149
(360) 249-4149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00039358
WA
101YP2500X
Professional Counselor
Primary
RC00039358
WA
Other
Enumeration date
03/31/2006
Last updated
09/11/2025
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