Individual provider · Type 1 NPI
Derwin Clark
Addiction (Substance Use Disorder) Counselor · Pine Bluff, AR
NPI number
1508231085
Active
Practice location
1301 Ridgway Rd Ste 1C
Pine Bluff, AR 71603-7610
Fax (870) 395-7377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1354 (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1508231085
Derwin Clark's National Provider Identifier is 1508231085, issued on Dec 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pine Bluff, AR. The record was last updated on Jul 16, 2026.