Jacey Clark , CDPT
Counselor • Longview, WA
Professional Overview & Biography Verified Profile Summary
Jacey Clark, CDPT is a registered healthcare professional specializing in Counselor in Longview, WA. Practice services are available at 720 14TH AVENUE under active NPI credentials.
Practice Location & Contact Primary Location
720 14th Avenue
Longview, WA 98632
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Longview, WA
Practicing in Longview, WA (11556 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
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Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Nurse's Aide
Registered Nurse
Nurse's Aide
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 720 14TH AVENUE, LONGVIEW, WA 98632 (Tel: 3603539840)
Registered at 921 14TH AVENUE, LONGVIEW, WA 98632 (Tel: 3604230203)
Counselor (License #60823909 in WA)
NPI status registered as active in NPPES database
Registered at 720 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3604230203)
Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)
Recorded as JACEY CLARK, CDPT
Counselor (License #60823909 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
921 14th Avenue
Longview, WA 98632
Phone: 3604230203
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