Individual provider · Type 1 NPI

Jeff Clark

Addiction (Substance Use Disorder) Counselor · Oxford, AL

NPI number 1972128148 Active

Practice location

118 E Choccolocco St
Oxford, AL 36203-1222

Mailing address

208 Carter St
Munford, AL 36268-6984

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 1972128148

Jeff Clark's National Provider Identifier is 1972128148, issued on Jun 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxford, AL. The record was last updated on Jun 12, 2020.