Individual provider · Type 1 NPI

Jerri Clark, BSW

Addiction (Substance Use Disorder) Counselor · Lima, OH

NPI number 1306321187 Active

Practice location

311 E Market St
Lima, OH 45801-4535

Mailing address

335 E Walnut St
Wauseon, OH 43567-1216

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 1306321187

Jerri Clark, BSW's National Provider Identifier is 1306321187, issued on Sep 27, 2018. 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 Sep 27, 2018.