Clark, Katie Johnson

Clark, Katie Johnson is an sole proprietor health care provider with primary practice located at 416 Ne Dallas St Ste 207 , Camas WA 98607-2189. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Katie Johnson can be contacted via phone (503) 781-1997.

Contact Information

Primary practice address
416 Ne Dallas St Ste 207 Camas WA 98607-2189
Phone: (503) 781-1997
Fax: (503) 200-1138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 61095149 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X C3201 Oregon

Profile Details

NPI number 1104173970
LBN Legal business name Clark, Katie Johnson
Credentials MA, LPC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2012
Last updated Dec 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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