Individual provider · Type 1 NPI
Kelly S. Clark, LCDCII
Addiction (Substance Use Disorder) Counselor · Ironton, OH
NPI number
1730690967
Active
Practice location
700 Park Ave
Ironton, OH 45638
Fax (740) 532-1715
Mailing address
PO Box 108
Ironton, OH 45638-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCII.161468 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Ironton
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- Chase Lewis, CDCAAddiction (Substance Use Disorder) Counselor Ironton, OH NPI 1003670696
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- Michael RobertsAddiction (Substance Use Disorder) Counselor Ironton, OH NPI 1003741687
- Amanda Lorraine Brumfield, LCDC IIIAddiction (Substance Use Disorder) Counselor Ironton, OH NPI 1013435866
- Alexys Carter, CDCAAddiction (Substance Use Disorder) Counselor Ironton, OH NPI 1013737188
About NPI 1730690967
Kelly S. Clark, LCDCII's National Provider Identifier is 1730690967, issued on Oct 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Sep 7, 2018.