Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN J CLARK, MS, CADC II, LPC
ActiveJACQUELYN J CLARK, MS, CADC II, LPC is a Professional Counselor healthcare provider located in BEND, Oregon. NPI 1356673263 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BEND, OR
Registration Details
- NPI Number
- 1356673263
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2010 (16.50947433443 yrs)
- Last Updated
- Sep 13, 2013
- Licenses
-
C2957 (OR)11-06-99 (OR)
Practice Information
- Address
-
2577 NE COURTNEY DRBEND, OR, 977017638Browse OR providers · Browse ZIP 97701
- Phone
- 5413227500
- Fax
- 5413227565
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. SYLVIA DIANNE HENDERSON | LPC | 1528040730 |
| JOSIE JUHASZ | MACP | 1194736264 |
| TONI BERUBE | — | 1023118023 |
| SUSAN KOLB | MS, LPC | 1396829602 |
| VIKKI L RULLMAN | QMHP, CADC I | 1366500787 |
| JEANIE BETH BAKKER | M.A., L.P.C. | 1770645863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.