Individual
MS. APRIL SHANNON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE R7809
Contact information
Practice address
1670 ELKAY DR, EUGENE, OR 97404-3055
(541) 286-5818
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(541) 286-5818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7809
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023371101
—
OR
Enumeration date
06/22/2012
Last updated
01/20/2023
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