Individual provider · Type 1 NPI
Beverly Mae Clarke, LADC1
Addiction (Substance Use Disorder) Counselor · Lynn, MA
NPI number
1477726404
Active
Practice location
181 Union St Ste B
Lynn, MA 01901-1310
Fax (781) 581-8413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1315 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1477726404
Beverly Mae Clarke, LADC1's National Provider Identifier is 1477726404, issued on Apr 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lynn, MA. The record was last updated on Apr 10, 2008.