| Doctor Name: | TERESA L CLEMENT |
| NPI Number: | 1124469457 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | LH60366966 |
| Business Practice Address: | 1306 Lake View Ave Snohomish, WA - 982901844 |
| Business Phone Number: | 2063669384 |
| Business Fax Number: | 3605681654 |
| Mailing Address: | 1306 Lake View Ave, Po Box 292 SNOHOMISH |
| State: | WA |
| Postal Code: | 982901844 |
| Phone Number: | 3605688737 |
| Fax Number: | 3605681654 |
| NPI Enumeration Date: | 07/15/2013 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60366966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |