Individual provider · Type 1 NPI

Shandi Marie Clark, LPC, ADC

Mental Health Counselor · Coos Bay, OR

NPI number 1992410401 Active

Practice location

1900 Woodland Dr
Coos Bay, OR 97420-2099

Call (541) 267-5151 Map

Fax (541) 266-4554

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC9599 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1992410401

Shandi Marie Clark, LPC, ADC's National Provider Identifier is 1992410401, issued on Jan 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 30, 2026.