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MRS. CASSANDRA ANN CLARK B.A.
NPI 1114040979
Counselor - Mental Health in Davenport, WA

Active since April 09, 2007
49 PARK STREET, DAVENPORT, WA 99122(509) 725-4900(509) 725-4901 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Cassandra Ann Clark B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CASSANDRA ANN CLARK B.A. (NPI 1114040979) is an individual mental health provider in Davenport, Washington, licensed in Washington (RC00023755) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1114040979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CASSANDRA ANN CLARKCredential: B.A.
Location Address49 PARK STREETDavenport, WA 99122-0421
Mailing AddressPo Box 502, 815 Se TrinityWilbur, WA 99185-0502 · (509) 647-5730 · Fax (509) 725-4901
Phone(509) 725-4900
Fax(509) 725-4901
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114040979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · RC00023755
49 PARK STREET, Davenport, WA 99122
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAPSTONE BEHAVIORAL HEALTH
Counselor (Mental Health)
49 PARK STREET
DAVENPORT, WA 99122
Lincoln County (509) 725-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Clark's NPI number?

The NPI number for Cassandra Clark is 1114040979. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Cassandra Clark located?

Cassandra Clark practices at 49 Park Street, Davenport, WA 99122. The listed phone number is (509) 725-4900.

What is Cassandra Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cassandra Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.