Individual provider · Type 1 NPI

Timothy Clark

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1831576271 Active

Practice location

4215 9th Ave S
Fargo, ND 58103-2018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1744 (ND)

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

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About NPI 1831576271

Timothy Clark's National Provider Identifier is 1831576271, issued on May 6, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on May 6, 2015.