Individual provider · Type 1 NPI

Rene Theresa Clark

Addiction (Substance Use Disorder) Counselor · Mattapan, MA

NPI number 1922859313 Active

Practice location

255 River St
Mattapan, MA 02126-2729

Mailing address

75 N Beacon St
Watertown, MA 02472-2671

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X187893081 (MA)

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

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About NPI 1922859313

Rene Theresa Clark's National Provider Identifier is 1922859313, issued on Apr 1, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mattapan, MA. The record was last updated on Apr 1, 2024.