Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Michelle Clark

Individual provider Mental Health Counselor · NPI 1104030899

Tina Michelle Clark is a Mental Health Counselor in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

135 W Main St
Chehalis, WA 98532-4817
Phone: (360) 748-6696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence RC00049995 (WA)

Record details

NPI number1104030899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESJuly 8, 2007

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