Individual provider · Type 1 NPI

Ralph M. Clark, CASAC

Addiction (Substance Use Disorder) Counselor · Mineola, NY

NPI number 1629491071 Active

Practice location

110 Main St
Mineola, NY 11501-4000

Call (516) 747-5644 Map

Fax (516) 747-2556

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3827 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629491071

Ralph M. Clark, CASAC's National Provider Identifier is 1629491071, issued on Jan 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mineola, NY. The record was last updated on Jan 21, 2014.