Individual provider · Type 1 NPI

Steven A. Clark, CACIII

Addiction (Substance Use Disorder) Counselor · Alamosa, CO

NPI number 1952435406 Active

Practice location

8745 County Road 9 S
Alamosa, CO 81101-9610

Fax (719) 587-5693

Mailing address

193 Edgemont Blvd
Alamosa, CO 81101-2345

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1851 (CO)

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

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About NPI 1952435406

Steven A. Clark, CACIII's National Provider Identifier is 1952435406, issued on Mar 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alamosa, CO. The record was last updated on Jul 8, 2007.