Jamie M Clark, LMHC, LCPC, SUDP is a
Counselor - Mental Health based in Spokane Vly, Washington. Jamie M Clark is licensed to practice in Washington (license number LH60625996) and her current practice location is
1923 N Locust Rd, Spokane Vly, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 953-3692.
NPI number for Jamie M Clark is 1265782254 and her current mailing address is 1923 N Locust Rd, Spokane Vly, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265782254.
Healthcare Provider's Profile
Full Name | Jamie M Clark |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1923 N Locust Rd, Spokane Vly, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265782254
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 10/23/2024
Medical Identifiers
Medical identifiers for Jamie M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265782254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60777124 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | 10339 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | LH60625996 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie M Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamie M Clark, LMHC, LCPC, SUDP 1923 N Locust Rd, Spokane Vly, WA 99206-4149 Ph: (509) 953-3692 | Jamie M Clark, LMHC, LCPC, SUDP 1923 N Locust Rd, Spokane Vly, WA 99206-4149 Ph: (509) 953-3692 |
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