Individual provider · Type 1 NPI

Delores Clark

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1093923641 Active

Practice location

13929 Harper Ave
Detroit, MI 48213-3672

Call (313) 371-0055 Map

Fax (313) 371-1409

Mailing address

14667 Cedargrove St
Detroit, MI 48205-3609

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 1093923641

Delores Clark's National Provider Identifier is 1093923641, issued on May 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.