Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1215260666 |
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| LBN Legal business name | CLARK COUNSELING & CONSULTING, INC. | ||||||||
| Authorized official | ALETHA CLARK - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/16/2009 | ||||||||
| Last updated | 02/23/2024 - About 2 years ago | ||||||||
| Identifiers |
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