Individual
LAVON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(425) 249-8357
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(425) 249-8357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MG61288174
WA
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LF61547837
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
08/07/2024
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