Individual provider · Type 1 NPI

Benjamin A. Clark

Addiction (Substance Use Disorder) Counselor · Yankton, SD

NPI number 1083385124 Active

Practice location

1028 Walnut St
Yankton, SD 57078-2910

Mailing address

1310 W 30th St
Yankton, SD 57078-5385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8512 (SD)

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

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About NPI 1083385124

Benjamin A. Clark's National Provider Identifier is 1083385124, issued on Sep 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yankton, SD. The record was last updated on Sep 27, 2021.