Individual provider · Type 1 NPI

Connetra Lashan Clark

Addiction (Substance Use Disorder) Counselor · Gainesville, FL

NPI number 1306293162 Active

Practice location

1900 SE 4th St, 42
Gainesville, FL 32641-8791

Call (352) 642-4775 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 1306293162

Connetra Lashan Clark's National Provider Identifier is 1306293162, issued on May 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gainesville, FL. The record was last updated on May 20, 2016.