IndividualActive
Charles Clark, LMHC
NPI 1043688583 · Mental Health Counselor · Fircrest, WA
Provider details
- NPI number
- 1043688583
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6314 19th St W Ste 7
Fircrest, WA 98466-6223
Phone: (253) 201-6070
Approximate (ZIP-level) locationGet directions
Mailing address
4404 Pacific St Sw
Lakewood, WA 98499-4244
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.