Individual
MS. CHERELYN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., MS.ED.
Contact information
Practice address
6212 75TH ST W, SUITE 1, LAKEWOOD, WA 98499-8368
(253) 208-1204
(253) 584-2710
Mailing address
6212 75TH ST W, SUITE 1, LAKEWOOD, WA 98499-8368
(253) 208-1204
(253) 584-2710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00011319
WA
Other
Enumeration date
10/20/2006
Last updated
02/22/2011
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