Jamie M Clark, LMHC, LCPC, SUDP is a
Counselor - Mental Health based in Spokane Vly, Washington. Jamie M Clark is licensed to practice in Idaho (license number 10339) and her current practice location is
111 N Vista Rd Ste 1a, Spokane Vly, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 236-1420.
NPI number for Jamie M Clark is 1265782254 and her current mailing address is Po Box 13103, Spokane Vly, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265782254.
Healthcare Provider's Profile
| Full Name | Jamie M Clark |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 111 N Vista Rd Ste 1a, Spokane Vly, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265782254
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 09/01/2025
Medical Identifiers
Medical identifiers for Jamie M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265782254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60777124 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH60625996 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10339 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie M Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jamie M Clark, LMHC, LCPC, SUDP
Po Box 13103,
Spokane Vly, WA 99213-3103
Ph: (509) 236-1420 | Jamie M Clark, LMHC, LCPC, SUDP
111 N Vista Rd Ste 1a,
Spokane Vly, WA 99213-0030
Ph: (509) 236-1420 |
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