Individual
AMANDA BLEU CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 NICKERSON ST STE 303, SEATTLE, WA 98109
(806) 681-2900
Mailing address
150 NICKERSON ST STE 303, SEATTLE, WA 98109-1634
(806) 681-2900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60713306
WA
101YP2500X
Professional Counselor
62327
TX
Other
Enumeration date
03/25/2008
Last updated
07/26/2018
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