Individual provider · Type 1 NPI

Gregory M. Clark, LPC CAC MHS

Addiction (Substance Use Disorder) Counselor · Exton, PA

NPI number 1649358623 Active

Practice location

479 Thomas Jones Way, Suite 800
Exton, PA 19341

Fax (610) 560-8219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XPC002876 (PA)

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

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About NPI 1649358623

Gregory M. Clark, LPC CAC MHS's National Provider Identifier is 1649358623, issued on Nov 1, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Exton, PA. The record was last updated on Jul 8, 2007.