Jayson Clark is a Roseburg, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Jayson Clark is C5596 for Professional Counselor in Oregon. His current practice location is 621 W Madrone St, Roseburg. Patients can book an appointment with him at 541-672-2691.
Jayson Clark is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jayson Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jayson Clark |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | MSMFT, LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 621 W Madrone St, Roseburg,
Oregon, 97470 |
| Phone: | 541-672-2691 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1598198954 |
| NPI Enumeration Date: | 20 Aug, 2013 |
| NPI Last Update On: | 07 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jayson Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| C5596 | Professional Counselor | Oregon | Primary | |
| T-17-081 | Addiction (Substance Use Disorder) Counselor | Oregon | Secondary | |
| Mental Health Counselor | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jayson Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500725582 | Medicaid | Oregon | |
| 500714629 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1121,
Roseburg, Oregon |
| Zip: | 97470-0254 |
Patients can reach Jayson Clark at
621 W Madrone St, Roseburg, Oregon or can
call to book an appointment on 541-672-2691.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.