Individual provider · Type 1 NPI

Diann Clark, MS, CAT

Addiction (Substance Use Disorder) Counselor · Walls, MS

NPI number 1649077140 Active

Practice location

8900 Delta Bluff Cv
Walls, MS 38680-4400

Mailing address

8272 Wolfchase Ln Apt 203
Cordova, TN 38016-2000

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 1649077140

Diann Clark, MS, CAT's National Provider Identifier is 1649077140, issued on Mar 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Walls, MS. The record was last updated on Mar 3, 2025.