Individual provider · Type 1 NPI
Anna Lisa Clark, LISW, LICDC
Addiction (Substance Use Disorder) Counselor · North Ridgeville, OH
NPI number
1457376485
Active
Practice location
35888 Center Ridge Rd, Suite 5
North Ridgeville, OH 44039-3086
Fax (440) 327-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0007941 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 862262 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457376485
Anna Lisa Clark, LISW, LICDC's National Provider Identifier is 1457376485, issued on Jul 12, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Ridgeville, OH. The record was last updated on Sep 11, 2025.