Individual provider · Type 1 NPI

Alyssa B. Clark

Addiction (Substance Use Disorder) Counselor · Fairfield, OH

NPI number 1124809983 Active

Practice location

6570 Sosna Dr
Fairfield, OH 45014-2222

Call (513) 942-4673 Map

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1124809983

Alyssa B. Clark's National Provider Identifier is 1124809983, issued on Oct 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, OH. The record was last updated on Jul 29, 2024.