Healthcare Provider Details

I. General information

NPI: 1952257669
Provider Name (Legal Business Name): CLEAR LAKE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 GOODPASTURE ISLAND RD STE A
EUGENE OR
97401-9724
US

IV. Provider business mailing address

509 AUTUMN AVE
EUGENE OR
97404-2551
US

V. Phone/Fax

Practice location:
  • Phone: 541-238-5414
  • Fax: 541-543-2486
Mailing address:
  • Phone: 541-238-5414
  • Fax: 541-543-2486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CUNIFF
Title or Position: THERAPIST/OWNER
Credential: LMFT
Phone: 503-367-9707