Individual provider · Type 1 NPI

Marcia Clark, CASAC

Addiction (Substance Use Disorder) Counselor · Owego, NY

NPI number 1053585471 Active

Practice location

1062 State Route 38
Owego, NY 13827-3209

Fax (607) 687-6396

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18570 (NY)

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

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About NPI 1053585471

Marcia Clark, CASAC's National Provider Identifier is 1053585471, issued on Apr 16, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Owego, NY. The record was last updated on Apr 16, 2008.