Lennee Clark, PSS

Peer Specialist · Cottage Grove, OR

Individual Active NPI

NPI number 1578085924

Practice location

75 S 5TH St
Cottage Grove, OR 97424-2008
Phone
(541) 767-4260
Fax
(541) 649-1697

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NPI record

NPI
1578085924
Entity type
Individual (Type 1)
Enumeration date
July 7, 2017
Last updated
September 27, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — OR
Addiction (Substance Use Disorder) Counselor 101YA0400X THW2138 OR

Mailing address

PO Box 5
Cottage Grove, OR 97424-0001
Phone
(541) 942-3939
Fax
(541) 942-9310

About Lennee Clark

Lennee Clark, PSS is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 75 S 5TH St, Cottage Grove, OR 97424-2008. The NPI number 1578085924 was assigned on July 7, 2017 and the record was last updated on September 27, 2017.

Lennee Clark lists a license in the registry: #THW2138 (OR) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lennee Clark, PSS?

The NPI number is 1578085924.

What is the phone number of Lennee Clark?

The phone number listed for the practice location is (541) 767-4260.

Where is Lennee Clark located?

75 S 5TH St, Cottage Grove, OR 97424-2008.

What is the taxonomy code for Lennee Clark?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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