Crystal L Clark, RC
Crystal L Clark, RC is a Mental Health Counselor in Eugene, Oregon. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in Washington.
- Years since qualifying
- 17
- Licensed in
- WA
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
Eugene, ORNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 9706 4th Ave Ne, Seattle, WA 98115-2157 — (206) 302-2900
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence RC60018186 (WA) |
Record details
| NPI number | 1699928937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RC |
| Sole proprietor | No |
| NPI enumerated | October 30, 2008 |
| Last updated in NPPES | March 17, 2018 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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