Individual provider · Type 1 NPI

Tarita Clemons

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1962778076 Active

Practice location

2626 E 46th St, Ste J
Indianapolis, IN 46205-2380

Call (317) 475-9066 Map

Mailing address

4936 E 40th St
Indianapolis, IN 46226-4507

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 1962778076

Tarita Clemons's National Provider Identifier is 1962778076, issued on Mar 23, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 24, 2016.