Clarke, Michael P

Clarke, Michael P is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Clarke, Michael P can be contacted via phone (253) 939-6648.

Contact Information

Primary practice address
17500 Se 392Nd St Auburn WA 98092-9705
Phone: (253) 939-6648
Fax: (253) 887-8737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00002153 Washington

Profile Details

NPI number 1194847798
LBN Legal business name Clarke, Michael P
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1194847798 NPPES
Washington MEDICAID 1980861

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