Individual provider · Type 1 NPI

David Allan Clark, LADC

Addiction (Substance Use Disorder) Counselor · Page, NE

NPI number 1275722365 Active

Practice location

50196 872nd Rd
Page, NE 68766-5539

Call (402) 338-5510 Map

Fax (402) 338-5510

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X594 (NE)

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

About NPI 1275722365

David Allan Clark, LADC's National Provider Identifier is 1275722365, issued on Oct 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Page, NE. The record was last updated on Nov 18, 2008.