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Active NPI 1265501829 Individual Practitioner Male Practitioner

Timothy K Clark , MA DCR

Counselor • Clinton, WA

Professional Overview & Biography Verified Profile Summary

Timothy Clark, MA DCR is a registered healthcare professional specializing in Counselor in Clinton, WA. Practice services are available at 6341 KYLLENON HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6341 Kyllenon Hill Rd

Clinton, WA 982368633

Telephone 3603413413

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Clinton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Clinton, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA RC00029171

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6341 KYLLENON HILL RD, CLINTON, WA 982368633 (Tel: 3603413413)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6341 KYLLENON HILL RD, CLINTON, WA 982368633 (Tel: 3603413413)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY CLARK, MA DCR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #RC00029171 in WA)

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Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265501829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6341 Kyllenon Hill Rd

Clinton, WA 982368633

Phone: 3603413413

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.