Individual
MR. HAROLD ULICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADDICTIONS THERAPIST
Contact information
Practice address
2400 RIVER RD, EUGENE, OR 97404-2042
(541) 345-5395
(541) 345-7360
Mailing address
832 JACKIES LN, EUGENE, OR 97404-3287
(541) 915-2280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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