Individual provider · Type 1 NPI

Shannon Clark

Addiction (Substance Use Disorder) Counselor · Devon, PA

NPI number 1659133395 Active

Practice location

235 W Lancaster Ave
Devon, PA 19333-1560

Call (484) 551-3366 Map

Mailing address

1935 Mather Way # A
Elkins Park, PA 19027-1022

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 1659133395

Shannon Clark's National Provider Identifier is 1659133395, issued on Jan 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Devon, PA. The record was last updated on Jan 29, 2024.