Individual provider · Type 1 NPI

Josie Clark, CDCA

Addiction (Substance Use Disorder) Counselor · Lima, OH

NPI number 1245798289 Active

Practice location

311 E Market St Ste 3
Lima, OH 45801-4535

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X181131 (OH)

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

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About NPI 1245798289

Josie Clark, CDCA's National Provider Identifier is 1245798289, issued on Mar 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Mar 23, 2023.