Kimberly Sue Clark, QMHP Valid NPI

Individual provider · Counselor · Klamath Falls, OR

NPI

1508210915

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

R6418 (OR)

Sex

Female

Sole proprietor

No

Enumerated

2016-04-21

Last updated

2023-03-14