Individual provider · Type 1 NPI

Lennee Clark, PSS

Peer Specialist · Cottage Grove, OR

NPI number 1578085924 Active

Practice location

75 S 5th St
Cottage Grove, OR 97424-2008

Call (541) 767-4260 Map

Fax (541) 649-1697

Mailing address

PO Box 5
Cottage Grove, OR 97424-0001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XTHW2138 (OR)
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1578085924

Lennee Clark, PSS's National Provider Identifier is 1578085924, issued on Jul 7, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Sep 27, 2017.