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Kelly Susann Clark
Mental Health Counselor in Newport, Oregon
NPI 1467186767

Kelly Susann Clark is a Mental Health Counselor based in Rhododendron, OR and is specialized in Mental Health. Kelly Susann Clark practices in Newport, OR. The NPI Number for Kelly Susann Clark is 1467186767 and holds a License No. (Oregon).

The current practice location address for Kelly Susann Clark is 36 Sw Nye St, Newport, OR and can be reached out via phone at 541-265-0445.

Location: 36 Sw Nye St, Newport, OR, 97049-9771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467186767
Provider Name
Kelly Susann Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
36 Sw Nye St, Newport, OR, 97049-9771
Phone Number
541-265-0445
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36 Sw Nye St
City
Newport
State
Oregon
Zip
97365-3821
Phone Number
541-265-0445
Fax Number
person
Provider Business Mailing Address Details
Address
36 Sw Nye St
City
Newport
State
Oregon
Zip
97365-3821
Phone Number
541-265-0445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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