| Lisa Ann Clark, | |
|
716 S Chase St, Port Angeles, WA 98362-6122 | |
| (306) 203-6997 | |
| Not Available |
| Full Name | Lisa Ann Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 716 S Chase St, Port Angeles, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043137961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61519991 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Clark, 2605 Calawah Way, Forks, WA 98331-9712 Ph: (360) 203-6997 | Lisa Ann Clark, 716 S Chase St, Port Angeles, WA 98362-6122 Ph: (306) 203-6997 |
Deborah Fredson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Nicole Lynn Moreira, MA, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Sharra Michelle Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Laura Lee Eliason, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493 | |
Ms. Roberta L Charles, ME, CAS,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Charles Rd, Port Angeles, WA 98363 Phone: 360-460-5963 | |
Kevin Dean Collins, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Port Angeles, WA 98362 Phone: 360-452-4432 Fax: 360-452-4599 | |
Teresa Mckenzie, CO60123119 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Suite 2, Port Angeles, WA 98362 Phone: 360-452-9836 |