Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn J Clark, MS, CADCII, LPC

Individual provider Professional Counselor · NPI 1356673263

Jacquelyn J Clark, MS, CADCII, LPC is a Professional Counselor in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C2957 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11-06-99 (OR)

Record details

NPI number1356673263
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CADCII , LPC
Sole proprietorNo
NPI enumeratedFebruary 2, 2010
Last updated in NPPESSeptember 13, 2013

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