DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE JOHNSON CLARK, MA, LPC, LMHC

Active Sole Proprietor

KATIE JOHNSON CLARK, MA, LPC, LMHC is a Professional Counselor healthcare provider located in CAMAS, Washington. NPI 1104173970 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CAMAS, WA

Registration Details

NPI Number
1104173970
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2012 (13.969701366862 yrs)
Last Updated
Dec 1, 2023
Licenses
61095149 (WA)
C3201 (OR)
Sole Proprietor
Yes

Practice Information

Address
416 NE DALLAS ST STE 207
CAMAS, WA, 986072189
Browse WA providers · Browse ZIP 98607
Phone
5037811997
Fax
5032001138
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CAMAS, WA

Name Credential NPI
MR. ELI TITO GALVAN II LMHC 1730531765
HANNAH SHAVER 1497496475
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.