Individual provider · Type 1 NPI

Kelly Susann Clark

Mental Health Counselor · Newport, OR

NPI number 1467186767 Active

Practice location

36 SW Nye St
Newport, OR 97365-3821

Call (541) 265-0445 Map

Mailing address

65070 E Lupine Dr
Rhododendron, OR 97049-9771

Other practice locations

  • 51 SW Lee St, Newport, OR 97365-3823 · (541) 574-5960

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467186767

Kelly Susann Clark's National Provider Identifier is 1467186767, issued on Jul 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport, OR. The record was last updated on May 10, 2023.