Individual provider · Type 1 NPI

Tanner Clark

Addiction (Substance Use Disorder) Counselor · West Chester, OH

NPI number 1164378659 Active

Practice location

7593 Tylers Place Blvd
West Chester, OH 45069-6308

Mailing address

1272 Oakmont Ave
Hamilton, OH 45013-3858

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.194817 (OH)

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

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About NPI 1164378659

Tanner Clark's National Provider Identifier is 1164378659, issued on Mar 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Chester, OH. The record was last updated on Mar 6, 2026.