Individual provider · Type 1 NPI

Harold Ulice Clark, ADDICTIONS THERAPIST

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1609896240 Active

Practice location

2400 River Rd
Eugene, OR 97404-2042

Fax (541) 345-7360

Mailing address

832 Jackies Ln
Eugene, OR 97404-3287

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609896240

Harold Ulice Clark, ADDICTIONS THERAPIST's National Provider Identifier is 1609896240, issued on Jul 19, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.