Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKLAUS CLARK, LPC, LMHC
ActiveNICKLAUS CLARK, LPC, LMHC is a Professional Counselor healthcare provider located in GRESHAM, Oregon. NPI 1407251408 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GRESHAM, OR
Registration Details
- NPI Number
- 1407251408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2014 (11.818802556396 yrs)
- Last Updated
- Feb 4, 2016
- Licenses
-
LH60497951 (WA)C3550 (OR)2012024654 (MO)
Practice Information
- Address
-
1700 NW CIVIC DRSUITE 310GRESHAM, OR, 970303770Browse OR providers · Browse ZIP 97030
- Phone
- 5032335405
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MARY CHRISTINE AFFOLTER | LPC,QMHP | 1164436572 |
| GINNA ALENE HOFFMAN | MA, MFT, LPC | 1639187099 |
| ANNE WEHRLI | LPC | 1366535643 |
| MRS. MOLLEE MICHELLE HUBER | LPC | 1588754717 |
| CHERYL JARDINE | LPC, QMHP | 1033284963 |
| MARINA BADCOCK | LPC, NCC | 1518022482 |
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.