Addiction Therapist

Jerry Dean Clark, SUDP, CPSS

1126 S Gold St, Centralia, Washington, 98531-3714

About Jerry Dean Clark

Jerry Dean Clark is a therapist based in Centralia, Washington who is specialized in Addiction (Substance Use Disorder) Counselor. Active license number of Jerry Dean Clark is CP61099597 for Addiction (Substance Use Disorder) Counselor in Washington. His current practice location is 1126 S Gold St, Centralia. Patients can reach him at 360-827-4929 or can fax him at 844-612-6673. Jerry Dean Clark is SUDP, CPSS in Addiction (Substance Use Disorder) Counselor and his NPI number (Unique professional ID assigned by NPPES) is 1497232060.

Jerry Dean Clark is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.

Practice Information

Jerry Dean Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Jerry Dean Clark
Specialization Addiction (Substance Use Disorder) Counselor
Credentials SUDP, CPSS
Gender Male
Practice Address: 1126 S Gold St,
Centralia, WA - 98531-3714
Fax 844-612-6673

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 Number1497232060
NPI Enumeration Date: 25 Jul, 2018
NPI Last Update On: 31 Aug, 2026

Medical Licenses:

Healthcare professionals can hold 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 NumberSpecializationStateStatus
CP61099597Addiction (Substance Use Disorder) Counselor WashingtonPrimary
PR70101410Peer Specialist WashingtonSecondary

Other Medical Identifiers

Other legacy medical identifiers associated with Jerry Dean Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2140419MedicaidWashington

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Jerry Dean Clark
Po Box 2394,
Longview, WA - 98632-8455
Phone: 360-200-5419
Fax: 360-200-6736

Book an Appointment with Jerry Dean Clark

To schedule an appointment, contact Jerry Dean Clark at 1126 S Gold St, Centralia, Washington or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Jerry Dean Clark:

Jerry Dean Clark is a therapist specializing in Addiction (Substance Use Disorder) Counselor. He is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.

Yes, Jerry Dean Clark is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Jerry Dean Clark practices at 1126 S Gold St, Centralia, Washington, 98531-3714.

To schedule an appointment with Jerry Dean Clark, please contact the office at 360-827-4929.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.