Camillia Clark, COUI-9541
Camillia Clark, COUI-9541 is a Mental Health Counselor in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
452 D StIdaho Falls, ID 83402-3531
Phone: (208) 552-0355
Fax: (208) 200-3201
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence COUI-9541 (ID) |
|---|
Record details
| NPI number | 1528840584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COUI-9541 |
| Sole proprietor | No |
| NPI enumerated | October 16, 2023 |
| Last updated in NPPES | October 16, 2023 |
| Certification date | October 16, 2023 |
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