IndividualActive
Aimee Clark, BS CADCI
NPI 1194185314 · Mental Health Counselor · Roseburg, OR
Provider details
- NPI number
- 1194185314
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BS CADCI
- Sex
- Female
- Sole proprietor
- No
- License
- R8950 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3031 Ne Stephens St
Roseburg, OR 97470-6237
Phone: (541) 229-7038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1700
Roseburg, OR 97470-0414
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.