# AIMEE LYNNELLE CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194185314
- **Gender:** F
- **Credential:** BS CADCI

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 15-08-21U | OR | — |
| 101YM0800X | Mental Health Counselor | R8950 | OR | Yes |

## Other

- **Enumeration date:** 03/01/2016
- **Last updated:** 04/14/2026