Jacquelyn J Clark, MS, CADC II, LPC

NPI #1356673263 in Bend, Oregon

Provider Information

NPI Number: 1356673263
Entity Type: Individual
Name: Jacquelyn J Clark, MS, CADC II, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, CADC II, LPC
Enumeration Date: Feb 2, 2010
Last Updated: Sep 13, 2013

Practice Location

Address: 2577 NE COURTNEY DR
City: Bend
State: Oregon
ZIP Code: 97701-7638
Phone: (541) 322-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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