Individual
CLARA PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15609 SE MILL PLAIN BLVD BLDG C, VANCOUVER, WA 98684-8952
(360) 433-9664
Mailing address
3710 SE 152ND AVE, VANCOUVER, WA 98683-5311
(503) 523-8203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH70015553
WA
Other
Enumeration date
07/26/2021
Last updated
10/13/2025
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