Individual provider · Type 1 NPI

Dallas Lashawn Clark

Addiction (Substance Use Disorder) Counselor · Springfield, MA

NPI number 1861043077 Active

Practice location

20 Wilbraham Ave
Springfield, MA 01109-3337

Fax (413) 382-7170

Mailing address

995 Worthington St
Springfield, MA 01109-4027

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 1861043077

Dallas Lashawn Clark's National Provider Identifier is 1861043077, issued on Sep 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, MA. The record was last updated on Sep 28, 2019.