LENNEE CLARK

COTTAGE GROVE, OR
NPI1578085924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  THW2138)
Enumeration Date2017-07-07
Last Update Date2017-09-27
Business Address
LENNEE CLARK PSS
75 S 5TH ST
COTTAGE GROVE, OR 97424-2008
Phone number: 541-767-4260
Mailing Address
LENNEE CLARK PSS
PO BOX 5
COTTAGE GROVE, OR 97424-0001
Phone number: 541-942-3939