person
Russell M Clark
Mental Health Counselor in John Day, Oregon
NPI 1336784578

Russell M Clark is a Mental Health Counselor based in John Day, OR and is specialized in Mental Health. Russell M Clark practices in John Day, OR. The NPI Number for Russell M Clark is 1336784578 and holds a License No. (Oregon).

The current practice location address for Russell M Clark is 528 E Main St Ste W, John Day, OR and can be reached out via phone at 541-575-1466.

Location: 528 E Main St Ste W, John Day, OR, 97845-1289
person
Provider Profile Details
NPI Number
1336784578
Provider Name
Russell M Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
528 E Main St Ste W, John Day, OR, 97845-1289
Phone Number
541-575-1466
Fax Number
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
528 E Main St Ste W
City
State
Zip
97845-1289
Phone Number
541-575-1466
Fax Number
person
Provider Business Mailing Address Details
Address
528 E Main St Ste W
City
State
Zip
97845-1289
Phone Number
541-575-1466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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