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

CAMILLIA CLARK, COUI-9541

Active

CAMILLIA CLARK, COUI-9541 is a Mental Health Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1528840584 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · IDAHO FALLS, ID

Registration Details

NPI Number
1528840584
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2023 (2.801393361441 yrs)
Last Updated
Oct 16, 2023
License
COUI-9541 (ID)

Practice Information

Address
452 D ST
IDAHO FALLS, ID, 834023531
Browse ID providers · Browse ZIP 83402
Phone
2085520355
Fax
2082003201
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in IDAHO FALLS, ID

Name Credential NPI
JILL REID WEADICK LCPC 1740255264
MRS. KATHLENE FAY PARSONS LCPC, NCC 1457365504
MS. JENNIFER DEE KERNER LCPC 1144315722
MRS. KIRA C LANE LPC3502 1275613556
CASEY PUZEY LCPC 1902977929
DR. JANET O. ALLEN ED.D, LCPC 1457413205
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.