Provider Demographics
NPI:1558502807
Name:MCKARCHER, MARK C (MA, LMHC)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:C
Last Name:MCKARCHER
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 5TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-2670
Mailing Address - Country:US
Mailing Address - Phone:509-751-2519
Mailing Address - Fax:
Practice Address - Street 1:744 5TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-2670
Practice Address - Country:US
Practice Address - Phone:509-751-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health