Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jim Clark

Individual provider Counselor · NPI 1134694953

Jim Clark is a Counselor in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070
Phone: (360) 763-5828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence SC60907499 (WA)

Record details

NPI number1134694953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESDecember 19, 2018
Mailing address7529 Brianna Ct Se, Olympia, WA 98513-5302

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