Jerry Dean Clark is a Centralia, Washington based counselor who is specialized as Counselor. Active license number of Jerry Dean Clark is CP61099597 for Addiction (Substance Use Disorder) Counselor in Washington. His current practice location is 1616 S Gold St Ste 4, Centralia. Patients can book an appointment with him at 360-807-4929.
Jerry Dean 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:
Jerry Dean 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:
Jerry Dean Clark
Specialization:
Counselor
Gender:
Male
Credentials:
SUDR, CPC, AAC
Accepts Medicare Assignment:
No
Practice Address:
1616 S Gold St Ste 4, Centralia, Washington, 98531-8930
Phone:
360-807-4929
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:
1497232060
NPI Enumeration Date:
25 Jul, 2018
NPI Last Update On:
13 Nov, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Dean Clark are as mentioned below.
License Number
Specialization
State
Status
CP61099597
Addiction (Substance Use Disorder) Counselor
Washington
Primary
CG60783169
Peer Specialist
Washington
Secondary
Peer Specialist
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2394, Longview, Washington
Zip:
98632
Phone Number:
360-200-5419
Fax Number:
360-200-6736
Patients can reach Jerry Dean Clark at 1616 S Gold St Ste 4, Centralia, Washington or can call to book an appointment on 360-807-4929. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.