LONNIE CLARK


Address: 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552
Phone: 5414828906

LONNIE CLARK (NPI# 1134543226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134543226
Entity Type Individual
Full Name LONNIE CLARK
Credential CADC I
Practice Address 695 Mistletoe Rd Ste H
Ashland
OR 97520-9552
Mailing Address 201 W Main St Ste 3d
Medford
OR 97501-2744
Practice Telephone 5414828906
Mailing Telephone 5417792393
Enumeration Date 2014-02-10
Last Update Date 2014-02-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
13-12-10 OR Behavioral Health & Social Service Providers

Other Providers LONNIE CLARK

NPI Name Taxonomy Address Enumeration
1598777450 Lonnie W. Clark Nurse Anesthetist, Certified Registered 16420 W Us Highway 24, Woodland Park, CO 80863-8760 2006-08-12

Office Location

Street Address 695 MISTLETOE RD STE H
City ASHLAND
State OR
Zip Code 97520-9552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558749119 Nickie Lunt Counselor 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 2015-05-14
1124405998 Debra Scionti Counselor 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 2015-04-30
1225432115 Kaitlyn Nero Counselor 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 2014-10-21
1225452238 Paul Janke Counselor 695 Mistletoe Rd Ste H, Ashland, OR 97520-9552 2014-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390435 Susan Kathleen Phelps Massage Therapist 280 E. Hersey St., Suite B17, Ashland, OR 97520 2020-06-08
1891276101 William Charles Southworth Internal Medicine 866 Blaine St.., Ashland, OR 97520 2018-08-24
1326545625 Daniel Jordan Decillis Dentist 1144 Iowa St Ste A, Ashland, OR 97520 2018-04-12
1730690959 Eleyah Knight Acupuncturist 850 Siskyou Blvd. #6, Ashland, OR 97520 2017-10-15
1881117752 Elizabeth Kristine Follett Speech-Language Pathologist 3265 Biddle Road, Medford, OR 97520 2017-07-21
1457895955 Graham Collins Inc. Counselor 1600 Tolman Creek Rd, Ashland, OR 97520 2016-12-19
1720538010 Kate Preskenis, Lmt, LLC Massage Therapist 823 Siskiyou Blvd., Ashland, OR 97520 2016-10-11
1366899445 Nadejda Ioana Razi Robertson Social Worker 246 Second Street, Ashland, OR 97520 2016-05-19
1225496193 Teena Summers Marriage & Family Therapist 200 Ohio St., Ashland, OR 97520 2016-02-05
1114392016 Amanda Rose Doula 2233 Villard St Apt 203, Ashland, OR 97520 2015-12-04
Find all providers in zip 97520

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861923484 Lucie Scheuer Counselor 66 Crocker St, Ashland, OR 97520-8786 2017-03-24
1316396724 Lori Wetzel Counselor 3118 Main St, Ashland, PA 17921-9433 2016-06-07
1285097204 Krystina Carnahan Counselor 326 Long St, Ashland, KY 41101-2490 2016-03-29
1669880423 Michelle Moore Counselor 302 E Hersey St Ste 8, Ashland, OR 97520-1200 2014-07-24
1255752697 Kolpia Counseling Service Counselor 302 E Hersey St Ste 1, Ashland, OR 97520-1200 2014-01-03
1306184999 Michael Hottman Counselor 12390 Starting Gate Way, Ashland, VA 23005-3003 2013-01-17
1821357518 Charles C Vaughn Counselor 1526 St. Rt. 603, Ashland, OH 44805 2012-05-15
1982998803 Lisa M Goodan Counselor 700 Wheatley Rd, Ashland, KY 41101-2348 2011-06-08
1871613943 Randall P. Spangle Counselor 502 Main St W Ste 305, Ashland, WI 54806-1512 2007-03-30
1760575500 Kolpia Counseling Services Inc Counselor 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520-2151 2006-10-02
Find all providers in ASHLAND

Competitor

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City ASHLAND
Zip Code 97520

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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