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

NATHANIEL P CLARK, LCPC-C

Active

Professional Counselor · PORTLAND, ME

Registration Details

NPI Number
1891155792
Provider Type
Individual
Gender
Male
NPI Issued
Mar 4, 2016 (10.1523208818 yrs)
Last Updated
Jan 9, 2024
Licenses
CC5420 (ME)
XL4658 (ME)

Practice Information

Address
11 BAXTER BLVD
PORTLAND, ME, 041011801
Browse ME providers · Browse ZIP 04101
Phone
2077748700
Fax
2074227268
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Counselor

Other Professional Counselor Providers in PORTLAND, ME

Name Credential NPI
NANCY E SHAW LCPC 1215933031
DR. DAVID C PRICHARD PH.D., LCPC 1295794139
MS. ANNE L KOCH LCPC 1437118759
MR. A. HUGHES KRAFT MA 1811959109
MARIE B SHEFFIELD L.C.P.C. 1093779076
MS. TERRY LEE DEVLIN LCPC 1912962515
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.