Individual provider · Type 1 NPI

Terry Clarke, LCDC

Addiction (Substance Use Disorder) Counselor · Austin, TX

NPI number 1740938844 Active

Practice location

1110 W William Cannon Dr Ste 303
Austin, TX 78745-3188

Call (512) 899-2100 Map

Fax (512) 899-2205

Mailing address

3300 Parker Ln Apt 266
Austin, TX 78741-6972

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15547 (TX)

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

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About NPI 1740938844

Terry Clarke, LCDC's National Provider Identifier is 1740938844, issued on Mar 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Mar 17, 2022.