Individual
DAVID WILLIAM CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED COUNSELOR
Contact information
Practice address
1412 ROGERS ST NW, OLYMPIA, WA 98502-4211
(360) 943-6642
Mailing address
1412 ROGERS ST NW, OLYMPIA, WA 98502-4211
(360) 943-6642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60124983
WA
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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