Individual provider · Type 1 NPI

Karyn E. Clark, PhD, ACADC

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1083748404 Active

Practice location

190 E Hackett Rd
Modesto, CA 95358-9001

Call (209) 525-7218 Map

Fax (209) 558-1082

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADTP6327

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

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About NPI 1083748404

Karyn E. Clark, PhD, ACADC's National Provider Identifier is 1083748404, issued on Mar 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Jul 24, 2024.