Individual provider · Type 1 NPI

Bryan Thomas Clarke, RADT

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1740844240 Active

Practice location

3125 Mchenry Ave Ste D
Modesto, CA 95350-1451

Call (209) 523-6900 Map

Mailing address

700 N Quincy Rd
Turlock, CA 95380-4334

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X507004599 (CA)

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

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About NPI 1740844240

Bryan Thomas Clarke, RADT's National Provider Identifier is 1740844240, issued on Apr 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Apr 30, 2019.