Individual provider · Type 1 NPI

Ava Clark

Addiction (Substance Use Disorder) Counselor · Peekskill, NY

NPI number 1417546110 Active

Practice location

1037 Main St
Peekskill, NY 10566-2913

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 1417546110

Ava Clark's National Provider Identifier is 1417546110, issued on Jan 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Peekskill, NY. The record was last updated on Jan 16, 2021.