Individual provider · Type 1 NPI

Jacquelyn J. Clark, MS, CADC II, LPC

Professional Counselor · Bend, OR

NPI number 1356673263 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Call (541) 322-7500 Map

Fax (541) 322-7565

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2957 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X11-06-99 (OR)

Professional Counselor: Definition to come...

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About NPI 1356673263

Jacquelyn J. Clark, MS, CADC II, LPC's National Provider Identifier is 1356673263, issued on Feb 2, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Sep 13, 2013.