Individual provider · Type 1 NPI

Terry R. Clark

Addiction (Substance Use Disorder) Counselor · Grand Junction, CO

NPI number 1891749768 Active

Practice location

515 28 3/4 Rd
Grand Junction, CO 81501-5016

Call (970) 241-6023 Map

Fax (970) 242-8330

Mailing address

PO Box 40
Glenwood Springs, CO 81602-0040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6241 (CO)

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

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About NPI 1891749768

Terry R. Clark's National Provider Identifier is 1891749768, issued on May 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Junction, CO. The record was last updated on Aug 4, 2008.