Individual provider · Type 1 NPI

Crystal Marie Clark

Addiction (Substance Use Disorder) Counselor · South Amboy, NJ

NPI number 1194269209 Active

Practice location

1 Main St
South Amboy, NJ 08879-1142

Call (732) 727-2555 Map

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 1194269209

Crystal Marie Clark's National Provider Identifier is 1194269209, issued on Dec 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Amboy, NJ. The record was last updated on Dec 8, 2016.