person
Lonnie Clark, CADCI
Addiction (Substance Use Disorder) Counselor in Ashland, Oregon
NPI 1134543226

Lonnie Clark is an Addiction (Substance Use Disorder) Counselor based in Medford, OR and is specialized in Addiction (Substance Use Disorder). Lonnie Clark practices in Ashland, OR and has the professional credentials of CADCI. The NPI Number for Lonnie Clark is 1134543226 and holds a License No. 13-12-10 (Oregon).

The current practice location address for Lonnie Clark is 695 Mistletoe Rd Ste H, Ashland, OR and can be reached out via phone at 541-482-8906. You can also correspond with Lonnie Clark through the mailing address at 201 W MAIN ST STE 3D, MEDFORD, OR - 97501-2744 (mailing address contact number: 541-779-2393).

Location: 695 Mistletoe Rd Ste H, Ashland, OR, 97501-2744
person
Provider Profile Details
NPI Number
1134543226
Provider Name
Lonnie Clark
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
695 Mistletoe Rd Ste H, Ashland, OR, 97501-2744
Phone Number
541-482-8906
Fax Number
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
695 Mistletoe Rd Ste H
City
State
Zip
97520-9552
Phone Number
541-482-8906
Fax Number
person
Provider Business Mailing Address Details
Address
695 Mistletoe Rd Ste H
City
State
Zip
97520-9552
Phone Number
541-482-8906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13-12-10 (Oregon)
Definition
Definition to come...
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