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TIMOTHY K CLARK MA DCR
NPI 1265501829
Counselor in Clinton, WA

Active since November 07, 2006
6341 KYLLENON HILL RD, CLINTON, WA 98236(360) 341-3413 Get Directions Write a Review

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

About Timothy K Clark Ma Dcr NPPES

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

TIMOTHY K CLARK MA DCR (NPI 1265501829) is an individual counselor in Clinton, Washington, licensed in Washington (RC00029171) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1265501829
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIMOTHY K CLARKCredential: MA DCR
Location Address6341 KYLLENON HILL RDClinton, WA 98236-8633
Mailing Address6341 Kyllenon Hill RdClinton, WA 98236-8633 · (360) 341-3413
Phone(360) 341-3413
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265501829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · RC00029171
Definition
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.
6341 KYLLENON HILL RD, Clinton, WA 98236
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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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1265501829. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Timothy Clark located?

Timothy Clark practices at 6341 Kyllenon Hill Rd, Clinton, WA 98236. The listed phone number is (360) 341-3413.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Timothy 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.