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Carolyn Clark, CRM
Peer Specialist in Grants Pass, Oregon
NPI 1578341731

Carolyn Clark is a Peer Specialist based in Grants Pass, OR. Carolyn Clark practices in Grants Pass, OR and has the professional credentials of CRM. The NPI Number for Carolyn Clark is 1578341731 and holds a License No. (Oregon).

The current practice location address for Carolyn Clark is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373. You can also correspond with Carolyn Clark through the mailing address at 1215 SW G ST, GRANTS PASS, OR - 97526-2544 (mailing address contact number: 541-476-2373).

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578341731
Provider Name
Carolyn Clark
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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