Jacey Clark is a Longview, Washington based counselor who is specialized as Counselor. Active license number of Jacey Clark is 60823909 for Counselor in Washington. His current practice location is 720 14th Avenue, Longview. Patients can book an appointment with him at 360-353-9840.
Jacey Clark is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. He works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. He support his clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Jacey Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jacey Clark
Specialization:
Counselor
Gender:
Male
Credentials:
CDPT
Accepts Medicare Assignment:
No
Practice Address:
720 14th Avenue, Longview, Washington, 98632
Phone:
360-353-9840
Fax:
360-353-9880
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730676701
NPI Enumeration Date:
16 Apr, 2018
NPI Last Update On:
01 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacey Clark are as mentioned below.
License Number
Specialization
State
Status
60823909
Counselor
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacey Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2101625
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
921 14th Avenue, Longview, Washington
Zip:
98632
Phone Number:
360-423-0203
Fax Number:
360-577-0269
Patients can reach Jacey Clark at 720 14th Avenue, Longview, Washington or can call to book an appointment on 360-353-9840. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.