Clark, Jennifer R

Clark, Jennifer R is an sole proprietor health care provider with primary practice located at 208 State Street , Hood River OR 97031-9734. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Jennifer R can be contacted via phone (541) 429-1064.

Contact Information

Primary practice address
208 State Street Hood River OR 97031-9734
Phone: (541) 429-1064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X L3395 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3395 Oregon

Profile Details

NPI number 1770639734
LBN Legal business name Clark, Jennifer R
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Aug 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers