Individual
MR. JAMES RICHARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
534 NE BROOKSTONE DR, PRINEVILLE, OR 97754-3221
(541) 678-3342
Mailing address
PO BOX 1211, PRINEVILLE, OR 97754-0675
(541) 678-3342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1913
OR
Other
Enumeration date
11/28/2009
Last updated
11/28/2009
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