Jacqueline Clark

  • NPI 1497015762
According to our database, the NPI number for Jacqueline Clark is 1497015762 and activated since 11 years ago. Jacqueline Clark is an individual provider who specializes in Mental Health, and the primary practice location is 923 Powell Ave Sw, Renton, WA 98057. You can also contact Jacqueline Clark via telephone number is (253) 833-7444. Provider NPI information was last updated on 05/21/2012.

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Overview of Jacqueline Clark

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/21/2012
  • Last updated: 05/21/2012

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LH60275892
  • License State: WA

Provider Mailing Address

  • Address: 325 W Gowe St
    Kent, WA 98032
  • Phone: 253-833-7444
  • Fax: 253-520-1799

Provider Practice Location

  • Address: 923 Powell Ave Sw
    Suite 100
    Renton, WA 98057
  • Phone: 253-833-7444
  • Fax: 425-226-6153

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LH60275892
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacqueline Clark?
  • A: The npi number for Jacqueline Clark is 1497015762.
  • Q: What are Jacqueline Clark's specialties?
  • A: Jacqueline Clark's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Jacqueline Clark?
  • A: The medical license number for Jacqueline Clark is LH60275892 and issued in WA in USA.
  • Q: Where is Jacqueline Clark practice location?
  • A: Jacqueline Clark is practicing at 923 Powell Ave Sw, Renton, WA 98057.
  • Q: How to contact Jacqueline Clark?
  • A: You can contact Jacqueline Clark via 253-833-7444.