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Lennee Clark, PSS
Peer Specialist in Cottage Grove, Oregon
NPI 1578085924

Lennee Clark is a Peer Specialist based in Cottage Grove, OR. Lennee Clark practices in Cottage Grove, OR and has the professional credentials of PSS. The NPI Number for Lennee Clark is 1578085924 and holds a License No. THW2138 (Oregon).

The current practice location address for Lennee Clark is 75 S 5Th St, Cottage Grove, OR and can be reached out via phone at 541-767-4260 and via fax at 541-649-1697.

Location: 75 S 5Th St, Cottage Grove, OR, 97424-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578085924
Provider Name
Lennee Clark
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
75 S 5Th St, Cottage Grove, OR, 97424-0001
Phone Number
541-767-4260
Fax Number
541-649-1697
Provider Enumeration Date
07/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2008
Phone Number
541-767-4260
Fax Number
541-649-1697
person
Provider Business Mailing Address Details
Address
75 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2008
Phone Number
541-767-4260
Fax Number
541-649-1697
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW2138 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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