NPI 1578085924

Lennee Clark, PSS

Practitioner Peer Specialist Cottage Grove, OR

Practice location

Address: 75 S 5th St, Cottage Grove, OR 97424-2008
Phone: (541) 767-4260
Fax: (541) 649-1697
Mailing address: PO Box 5, Cottage Grove, OR 97424-0001

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oregon →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence THW2138 (OR)

Other Counselor providers in Oregon →

Registry record

NPI: 1578085924
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2017
Record last updated: 27 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.