Individual provider · Type 1 NPI

Anne Clark, BA, CADC I

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1972974665 Active

Practice location

1251 NE Elm St
Prineville, OR 97754-1206

Call (541) 323-5330 Map

Fax (541) 447-6694

Mailing address

1059 NW Madras Hwy
Prineville, OR 97754-1416

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 1972974665

Anne Clark, BA, CADC I's National Provider Identifier is 1972974665, issued on Oct 7, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Aug 28, 2025.