Individual provider · Type 1 NPI

Eleanor Ann Clark Ii, BA, CADC

Addiction (Substance Use Disorder) Counselor · Hackensack, NJ

NPI number 1316519655 Active

Practice location

84 Main St
Hackensack, NJ 07601-7143

Call (201) 471-5694 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37CA00065700 (NJ)

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

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About NPI 1316519655

Eleanor Ann Clark Ii, BA, CADC's National Provider Identifier is 1316519655, issued on Jul 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 15, 2021.