Individual provider · Type 1 NPI

Jeffrey Kenneth Clark

Addiction (Substance Use Disorder) Counselor · Concord, CA

NPI number 1952945248 Active

Practice location

1470 Civic Ct
Concord, CA 94520-5290

Fax (925) 849-6832

Mailing address

2350 Woodhill Dr
Pittsburg, CA 94565-7332

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 1952945248

Jeffrey Kenneth Clark's National Provider Identifier is 1952945248, issued on Oct 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Concord, CA. The record was last updated on Oct 30, 2019.