Individual
MICHAEL CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CDP
Contact information
Practice address
307 S 12TH AVE STE 4B, YAKIMA, WA 98902-3137
(509) 575-8457
(509) 453-1273
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60098052
WA
Other
Enumeration date
10/24/2017
Last updated
10/18/2022
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