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IndividualActive

Tina Michelle Clark

Counselor - Mental Health

NPI: 1104030899Chehalis, Washington, 98532(360) 748-6696Female

About Tina Michelle Clark

Tina Michelle Clark is a female healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1104030899. Their primary practice is located at 135 W MAIN ST, Chehalis, Washington 98532.

Patients can reach the office at (360) 748-6696. Tina Michelle Clark has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1104030899
Entity Type
Individual
First Name
Tina
Last Name
Clark
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
135 W MAIN ST
City
Chehalis
State
Washington
ZIP
98532-4817
Country
United States
Phone
(360) 748-6696

Specialty & Taxonomy

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1313 FERRIER RD
City
WINLOCK
State
WA
ZIP
985969330

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Tina Michelle Clark's NPI number?
Tina Michelle Clark's National Provider Identifier (NPI) is 1104030899. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Tina Michelle Clark specialize in?
Tina Michelle Clark specializes in Counselor - Mental Health.
Where is Tina Michelle Clark located?
Tina Michelle Clark practices at 135 W MAIN ST, Chehalis, Washington 98532. You can reach them by phone at (360) 748-6696.
Does Tina Michelle Clark accept Medicare?
Based on available data, Tina Michelle Clark is not currently enrolled in the Medicare program.
Does Tina Michelle Clark offer telehealth or virtual visits?
Tina Michelle Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Tina Michelle Clark is 1104030899.