Individual provider · Type 1 NPI
Robert Bicknell Clark Iii, CADC-1
Addiction (Substance Use Disorder) Counselor · Atlanta, GA
NPI number
1891368056
Active
Practice location
4200 Northside Pkwy NW Bldg 7
Atlanta, GA 30327-3007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0689 (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1891368056
Robert Bicknell Clark Iii, CADC-1's National Provider Identifier is 1891368056, issued on Jul 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 23, 2021.