Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYSON CLARK, MSMFT, LPC
ActiveJAYSON CLARK, MSMFT, LPC is a Professional Counselor healthcare provider located in ROSEBURG, Oregon. NPI 1598198954 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROSEBURG, OR
Registration Details
- NPI Number
- 1598198954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2013 (12.971737404018 yrs)
- Last Updated
- Jul 7, 2022
- Licenses
-
T-17-081 (OR)C5596 (OR)
Practice Information
- Address
-
621 W MADRONE STROSEBURG, OR, 97470Browse OR providers · Browse ZIP 97470
- Phone
- 5416722691
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| MS. JUDY DIANE GABEHART-GEANT | M.ED., L.P.C. | 1467473934 |
| PIPER SULLIVAN | MA, LPC | 1831248491 |
| MS. BARI S ISAACSON | LPC | 1679629356 |
| MS. JAMIE CARLSON | MSW | 1275670846 |
| BRYAN MCCREA | LPC | 1760520456 |
| DOUG A ECKSTEIN | LPC | 1154469856 |
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.