Individual provider · Type 1 NPI

Latonia Clark

Addiction (Substance Use Disorder) Counselor · Leavenworth, KS

NPI number 1316582935 Active

Practice location

500 Limit St
Leavenworth, KS 66048-4435

Fax (913) 682-4664

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X844 (KS)

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

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About NPI 1316582935

Latonia Clark's National Provider Identifier is 1316582935, issued on Nov 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leavenworth, KS. The record was last updated on Nov 7, 2019.