person
Phoebe Samantha Clark, MA,LPC,ATR
Professional Counselor in Bend, Oregon
NPI 1881050490

Phoebe Samantha Clark is a Professional Counselor based in Bend, OR and is specialized in Professional. Phoebe Samantha Clark practices in Bend, OR and has the professional credentials of MA,LPC,ATR. The NPI Number for Phoebe Samantha Clark is 1881050490 and holds a License No. C5258 (Oregon).

The current practice location address for Phoebe Samantha Clark is 66975 West St, Bend, OR and can be reached out via phone at 541-203-0970.

Location: 66975 West St, Bend, OR, 97703-9283
person
Provider Profile Details
NPI Number
1881050490
Provider Name
Phoebe Samantha Clark
Credential
MA,LPC,ATR
Provider Entity Type
Individual
Gender
Female
Address
66975 West St, Bend, OR, 97703-9283
Phone Number
541-203-0970
Fax Number
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85338559 05 NM
institution
Provider Business Practice Location Address Details
Address
66975 West St
City
State
Zip
97703-9283
Phone Number
541-203-0970
Fax Number
person
Provider Business Mailing Address Details
Address
66975 West St
City
State
Zip
97703-9283
Phone Number
541-203-0970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C5258 (Oregon)
Definition
Definition to come...
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