person
Crystal L Clark, RC
Mental Health Counselor in Eugene, Oregon
NPI 1699928937

Crystal L Clark is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Crystal L Clark practices in Eugene, OR and has the professional credentials of RC. The NPI Number for Crystal L Clark is 1699928937 and holds a License No. RC60018186 (Oregon).

The current practice location address for Crystal L Clark is 260 E 11Th Ave, Eugene, OR and can be reached out via phone at 541-484-4428 and via fax at 541-484-7212. You can also correspond with Crystal L Clark through the mailing address at 1790 W 11TH AVE STE 200, EUGENE, OR - 97402-3871 (mailing address contact number: 541-686-2688).

Location: 260 E 11Th Ave, Eugene, OR, 97402-3871
person
Provider Profile Details
NPI Number
1699928937
Provider Name
Crystal L Clark
Credential
RC
Provider Entity Type
Individual
Gender
Female
Address
260 E 11Th Ave, Eugene, OR, 97402-3871
Phone Number
541-484-4428
Fax Number
541-484-7212
Provider Enumeration Date
10/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
260 E 11Th Ave
City
State
Zip
97401-3247
Phone Number
541-484-4428
Fax Number
541-484-7212
person
Provider Business Mailing Address Details
Address
1790 W 11Th Ave Ste 200
City
State
Zip
97402-3871
Phone Number
541-686-2688
Fax Number
541-345-7605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
RC60018186 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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