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NICKLAUS CLARK, LPC, LMHC

LPC, LMHC

Professional Counselor

NPI: 1407251408Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

LH60497951(WA)
Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

C3550(OR)2012024654(MO)

Contact & Hours

Address
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030

Quick Facts

NPI
1407251408
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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