SYDNEY CLARK

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1093410060

Practice Address

9615 GRAND RONDE RD
Grand Ronde, OR 97347

Phone: (503) 879-2297

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X No 108162 (OR)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes T-23-2489 (OR)

Frequently Asked Questions

NPI 1093410060 is the National Provider Identifier for SYDNEY CLARK, a Counselor - Addiction (Substance Use Disorder) provider located in Grand Ronde, OR. This NPI was enumerated on March 31, 2023.
SYDNEY CLARK practices at 9615 GRAND RONDE RD, Grand Ronde, OR 97347.

Quick Facts

NPI
1093410060
Type
Individual
Enumerated
Mar 31, 2023
Last Updated
Jul 24, 2024

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