SHANNEN CLARK, COUNSELOR
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1356980122
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1356980122 is the National Provider Identifier for SHANNEN CLARK, COUNSELOR, a Counselor - Addiction (Substance Use Disorder) provider located in Liverpool, NY. This NPI was enumerated on December 27, 2019.
SHANNEN CLARK, COUNSELOR practices at 526 OLD LIVERPOOL RD STE 9, Liverpool, NY 13088.
Quick Facts
- NPI
- 1356980122
- Type
- Individual
- Enumerated
- Dec 27, 2019
- Last Updated
- Dec 22, 2020
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