Individual provider · Type 1 NPI

Angela Clark, CDCA

Addiction (Substance Use Disorder) Counselor · Chillicothe, OH

NPI number 1740775659 Active

Practice location

4449 State Route 159
Chillicothe, OH 45601-8620

Mailing address

PO Box 6159
Chillicothe, OH 45601-6159

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X141661 (OH)

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

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About NPI 1740775659

Angela Clark, CDCA's National Provider Identifier is 1740775659, issued on Jun 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chillicothe, OH. The record was last updated on Feb 28, 2023.