Individual provider · Type 1 NPI

Stacie Clark

Addiction (Substance Use Disorder) Counselor · Burlington, IA

NPI number 1447125620 Active

Practice location

1340 Mount Pleasant St
Burlington, IA 52601-2623

Call (319) 753-6567 Map

Fax (319) 753-0703

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 1447125620

Stacie Clark's National Provider Identifier is 1447125620, issued on Oct 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burlington, IA. The record was last updated on Oct 8, 2025.