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Mr. James Richard Clark, LPC
Professional Counselor in Prineville, Oregon
NPI 1063740280

James Richard Clark is a Professional Counselor based in Prineville, OR and is specialized in Professional. James Richard Clark practices in Prineville, OR and has the professional credentials of LPC. The NPI Number for James Richard Clark is 1063740280 and holds a License No. C1913 (Oregon).

The current practice location address for James Richard Clark is 534 Ne Brookstone Dr, Prineville, OR and can be reached out via phone at 541-678-3342.

Location: 534 Ne Brookstone Dr, Prineville, OR, 97754-0675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063740280
Provider Name
James Richard Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
534 Ne Brookstone Dr, Prineville, OR, 97754-0675
Phone Number
541-678-3342
Fax Number
Provider Enumeration Date
11/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
534 Ne Brookstone Dr
City
Prineville
State
Oregon
Zip
97754-3221
Phone Number
541-678-3342
Fax Number
person
Provider Business Mailing Address Details
Address
534 Ne Brookstone Dr
City
Prineville
State
Oregon
Zip
97754-3221
Phone Number
541-678-3342
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C1913 (Oregon)
Definition
Definition to come...
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