Mr. Leonard Clark, CERTIFIEDALCOHOL
Mr. Leonard Clark, CERTIFIEDALCOHOL is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
4134 N Vancouver Ave Ste 303CPortland, OR 97217-2900
Phone: (503) 593-7764
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (OR) |
|---|
Record details
| NPI number | 1518226216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDALCOHOL |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2012 |
| Last updated in NPPES | May 15, 2012 |
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