Individual provider · Type 1 NPI

Jeremy Joseph Clark

Mental Health Counselor · Eugene, OR

NPI number 1982772042 Active

Practice location

71 Centennial Loop Ste A
Eugene, OR 97401-2443

Call (541) 505-8426 Map

Fax (541) 515-6938

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1982772042

Jeremy Joseph Clark's National Provider Identifier is 1982772042, issued on Nov 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Feb 11, 2020.