Individual provider · Type 1 NPI

Caitlin Alexandra Clark, BA, CADC I

Mental Health Counselor · Eugene, OR

NPI number 1992056402 Active

Practice location

149 W 12th Ave
Eugene, OR 97401-6215

Fax (541) 484-5021

Mailing address

1199 N Terry St, 180
Eugene, OR 97402-1459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992056402

Caitlin Alexandra Clark, BA, CADC I's National Provider Identifier is 1992056402, issued on Sep 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Oct 30, 2012.