Individual provider · Type 1 NPI

Carmen Renee' Clary, CADC

Addiction (Substance Use Disorder) Counselor · Cape Girardeau, MO

NPI number 1083913487 Active

Practice location

760 S Kingshighway St Ste F
Cape Girardeau, MO 63703-7676

Fax (573) 335-4345

Mailing address

603 Sycamore Cir Apt 2
Cape Girardeau, MO 63701-4192

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1083913487

Carmen Renee' Clary, CADC's National Provider Identifier is 1083913487, issued on Mar 24, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cape Girardeau, MO. The record was last updated on Nov 14, 2011.