Individual provider · Type 1 NPI

Wayne E. Clark, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1396209136 Active

Practice location

820 Saint Anns Ave
Bronx, NY 10456-7885

Call (646) 316-3265 Map

Mailing address

2012 Benedict Ave Ste 2
Bronx, NY 10462-4404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23387 (NY)

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

10 other providers at this address

Other addiction (substance use disorder) counselor providers in Bronx

See all in Bronx →

About NPI 1396209136

Wayne E. Clark, CASAC's National Provider Identifier is 1396209136, issued on Jan 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Jan 25, 2019.