Individual provider · Type 1 NPI

James Earl Clark, LCDC

Addiction (Substance Use Disorder) Counselor · Lewisville, TX

NPI number 1366101321 Active

Practice location

105 Kathryn Dr Ste D
Lewisville, TX 75067-4200

Call (800) 972-0643 Map

Fax (214) 279-5032

Mailing address

4251 FM 2181 Ste 230-517
Corinth, TX 76210-4219

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7058 (TX)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7058 (TX)

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

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About NPI 1366101321

James Earl Clark, LCDC's National Provider Identifier is 1366101321, issued on Dec 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lewisville, TX. The record was last updated on Dec 16, 2021.