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JACQUELYN J CLARK MS, CADC II, LPC
NPI 1356673263
Counselor - Professional in Bend, OR

Active since February 02, 2010
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn J Clark Ms, Cadc Ii, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN J CLARK MS, CADC II, LPC (NPI 1356673263) is an individual professional provider in Bend, Oregon, licensed in Oregon (C2957) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1356673263
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN J CLARKCredential: MS, CADC II, LPC
Location Address2577 NE COURTNEY DRBend, OR 97701-7638
Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateFebruary 2, 2010
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1356673263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C2957
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11-06-99 (OR)
2577 NE COURTNEY DR, Bend, OR 97701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNE WHITE
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
MRS. MARINA ASHLEY KENT RN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7480
KATHLEEN ELIZABETH CHRISTENSEN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
DESCHUTES COUNTY OREGON
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
TONI BERUBE
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7678
EMMA SUSANN ANDERSON LCSW
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TRENT MORRELL
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TAYLOR ELIZABETH SEXTON
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1356673263. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is Jacquelyn Clark located?

Jacquelyn Clark practices at 2577 NE Courtney Dr, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Jacquelyn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Clark was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.