person
Jeremy Joseph Clark
Mental Health Counselor in Eugene, Oregon
NPI 1982772042

Jeremy Joseph Clark is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Jeremy Joseph Clark practices in Eugene, OR. The NPI Number for Jeremy Joseph Clark is 1982772042 and holds a License No. (Oregon).

The current practice location address for Jeremy Joseph Clark is 71 Centennial Loop Ste A, Eugene, OR and can be reached out via phone at 541-505-8426 and via fax at 541-515-6938.

Location: 71 Centennial Loop Ste A, Eugene, OR, 97504-4004
person
Provider Profile Details
NPI Number
1982772042
Provider Name
Jeremy Joseph Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
71 Centennial Loop Ste A, Eugene, OR, 97504-4004
Phone Number
541-505-8426
Fax Number
541-515-6938
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
71 Centennial Loop Ste A
City
State
Zip
97401-2443
Phone Number
541-505-8426
Fax Number
541-515-6938
person
Provider Business Mailing Address Details
Address
71 Centennial Loop Ste A
City
State
Zip
97401-2443
Phone Number
541-505-8426
Fax Number
541-515-6938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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