Provider Demographics
NPI:1699059428
Name:PEARCE, CLARISSA IRIS (MS, LMHC)
Entity type:Individual
Prefix:
First Name:CLARISSA
Middle Name:IRIS
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 10TH ST
Mailing Address - Street 2:#222
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7050
Mailing Address - Country:US
Mailing Address - Phone:360-393-9015
Mailing Address - Fax:
Practice Address - Street 1:1140 10TH ST
Practice Address - Street 2:#222
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7050
Practice Address - Country:US
Practice Address - Phone:360-393-9015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health