Individual provider · Type 1 NPI

Patricia Clark, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1023840931 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (800) 829-5461 Map

Mailing address

21 Hickory Dr
Harrison, OH 45030-2804

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA189075 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023840931

Patricia Clark, CDCA's National Provider Identifier is 1023840931, issued on Aug 19, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Aug 19, 2024.