Individual provider · Type 1 NPI
Lonnie Clark, CADC I
Addiction (Substance Use Disorder) Counselor · Ashland, OR
NPI number
1134543226
Active
Practice location
695 Mistletoe Rd Ste H
Ashland, OR 97520-9552
Mailing address
201 W Main St Ste 3D
Medford, OR 97501-2744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13-12-10 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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- Elaine Williams Mellon, CADCAddiction (Substance Use Disorder) Counselor Ashland, OR NPI 1437885613
- Desiree Lu IngramAddiction (Substance Use Disorder) Counselor Ashland, OR NPI 1477183945
- Michael Jerome Rhoades, CADC III, NCC, CTMHAddiction (Substance Use Disorder) Counselor Ashland, OR NPI 1497115067
About NPI 1134543226
Lonnie Clark, CADC I's National Provider Identifier is 1134543226, issued on Feb 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashland, OR. The record was last updated on Feb 10, 2014.