Individual provider · Type 1 NPI

Shelia Clark

Mental Health Counselor · Prineville, OR

NPI number 1003372269 Active

Practice location

1103 NE Elm St
Prineville, OR 97754-1664

Fax (541) 447-1121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003372269

Shelia Clark's National Provider Identifier is 1003372269, issued on Feb 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prineville, OR. The record was last updated on Apr 19, 2021.