Individual provider · Type 1 NPI

Miranda Bayard-Clark, M.A., LPC INTERN

Mental Health Counselor · Lake Oswego, OR

NPI number 1295164309 Active

Practice location

15110 Boones Ferry Rd Ste 150
Lake Oswego, OR 97035-3486

Call (503) 395-7592 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X60599847 (WA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1295164309

Miranda Bayard-Clark, M.A., LPC INTERN's National Provider Identifier is 1295164309, issued on Nov 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Oswego, OR. The record was last updated on Jan 15, 2016.