person
Jacquelyn J Clark, MS,CADCII,LPC
Addiction (Substance Use Disorder) Counselor in Bend, Oregon
NPI 1356673263

Jacquelyn J Clark is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Jacquelyn J Clark practices in Bend, OR and has the professional credentials of MS,CADCII,LPC. The NPI Number for Jacquelyn J Clark is 1356673263 and holds a License No. C2957 (Oregon).

The current practice location address for Jacquelyn J Clark is 2577 Ne Courtney Dr, Bend, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.

Location: 2577 Ne Courtney Dr, Bend, OR, 97701-7638
person
Provider Profile Details
NPI Number
1356673263
Provider Name
Jacquelyn J Clark
Credential
MS,CADCII,LPC
Provider Entity Type
Individual
Gender
Female
Address
2577 Ne Courtney Dr, Bend, OR, 97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
02/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2577 Ne Courtney Dr
City
State
Zip
97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
2577 Ne Courtney Dr
City
State
Zip
97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11-06-99 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2957 (Oregon)
Definition
Definition to come...
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