Individual provider · Type 1 NPI
Dominique Clark
Addiction (Substance Use Disorder) Psychologist · Florissant, MO
Practice location
1150 Graham Rd
Florissant, MO 63031-8077
Mailing address
5570 Vernon Ave
St. Louis, MO 63112-2756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
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About NPI 1841934544
Dominique Clark's National Provider Identifier is 1841934544, issued on Apr 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Florissant, MO. The record was last updated on Apr 27, 2022.