Individual
CAROLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, PSS, CRM, CGAC
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23-QMHA-R-4637
OR
175T00000X
Peer Specialist
Primary
110022
OR
Other
Enumeration date
09/19/2023
Last updated
07/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us