Individual provider · Type 1 NPI

Aimee Lynnelle Clark, BS CADCI

Mental Health Counselor · Roseburg, OR

NPI number 1194185314 Active

Practice location

3031 NE Stephens St
Roseburg, OR 97470-6237

Call (541) 229-7038 Map

Mailing address

PO Box 1700
Roseburg, OR 97470-0414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR8950 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X15-08-21U (OR)

Mental Health Counselor: Definition to come...

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About NPI 1194185314

Aimee Lynnelle Clark, BS CADCI's National Provider Identifier is 1194185314, issued on Mar 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Apr 14, 2026.