Individual
MR. RICHARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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