Individual provider · Type 1 NPI

Lincolin Henry Clark, FAODP

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1760500623 Active

Practice location

514 Alger St
Detroit, MI 48202-2106

Mailing address

925 Whitmore Rd Apt A1
Detroit, MI 48203-1749

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 1760500623

Lincolin Henry Clark, FAODP's National Provider Identifier is 1760500623, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 26, 2007.