Individual provider · Type 1 NPI

James M. Clark

Addiction (Substance Use Disorder) Counselor · Lexington, SC

NPI number 1871174599 Active

Practice location

1068 S Lake Dr
Lexington, SC 29073-3720

Mailing address

2711 Colonial Dr
Columbia, SC 29203-6818

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 1871174599

James M. Clark's National Provider Identifier is 1871174599, issued on Apr 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington, SC. The record was last updated on Apr 15, 2021.