Individual provider · Type 1 NPI

Miranda Paige Clark

Addiction (Substance Use Disorder) Counselor · Florence, KY

NPI number 1194598177 Active

Practice location

6066 Cedar Hill Ln
Florence, KY 41042-1046

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X274268 (KY)

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

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About NPI 1194598177

Miranda Paige Clark's National Provider Identifier is 1194598177, issued on Nov 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Florence, KY. The record was last updated on Nov 1, 2023.