Individual
MR. SCOTT THOMAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
900 NORTHCREST DR # 251, CRESCENT CITY, CA 95531-2315
(505) 537-5350
Mailing address
900 NORTHCREST DR # 251, CRESCENT CITY, CA 95531-2315
(505) 537-5350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CCMH0217051
NM
101YP2500X
Professional Counselor
Primary
LPCC20665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04123751
—
NM
Enumeration date
09/26/2017
Last updated
01/09/2026
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