Individual
FRANCES LEANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1201 SE 223RD AVE STE 165, GRESHAM, OR 97030-2577
(971) 404-4668
Mailing address
1201 SE 223RD AVE STE 165, GRESHAM, OR 97030-2577
(971) 404-4668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4912
OR
Other
Enumeration date
04/13/2016
Last updated
01/02/2024
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