MR. James Richard Clark, LPC

NPI #1063740280 in Prineville, Oregon

Provider Information

NPI Number
1063740280
Entity Type
Individual
Name
MR. James Richard Clark, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Nov 28, 2009
Last Updated
Nov 28, 2009

Practice Location

Address
534 NE BROOKSTONE DR
State
Oregon
ZIP Code
97754-3221
Phone
(541) 678-3342

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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