Organization
CLARK COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY CLARK MAST OF ARTS (BEHAVIORAL HEALTH CLINICIAN)
(541) 896-1317
Entity
Organization
Contact information
Practice address
1880 NW MONTEREY PINES DR UNIT 7, BEND, OR 97703-6744
(541) 896-1317
Mailing address
1880 NW MONTEREY PINES DR UNIT 7, BEND, OR 97703-6744
(541) 896-1317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
09/28/2024
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