Individual provider · Type 1 NPI

Bonnie Clark

Mental Health Counselor · Bend, OR

NPI number 1063989960 Active

Practice location

20370 Poe Sholes Dr
Bend, OR 97703-7938

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063989960

Bonnie Clark's National Provider Identifier is 1063989960, issued on Oct 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Oct 29, 2018.