Individual provider · Type 1 NPI
James Richard Clark, LPC
Professional Counselor · Prineville, OR
NPI number
1063740280
Active
Practice location
534 NE Brookstone Dr
Prineville, OR 97754-3221
Mailing address
PO Box 1211
Prineville, OR 97754-0675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C1913 (OR) |
Professional Counselor: Definition to come...
Other professional counselor providers in Prineville
About NPI 1063740280
James Richard Clark, LPC's National Provider Identifier is 1063740280, issued on Nov 28, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prineville, OR. The record was last updated on Nov 28, 2009.