JERRY CLARK, SUDR, CPC, AAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1497232060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CP61099597 (WA) |
Frequently Asked Questions
NPI 1497232060 is the National Provider Identifier for JERRY CLARK, SUDR, CPC, AAC, a Counselor - Addiction (Substance Use Disorder) provider located in Centralia, WA. This NPI was enumerated on July 25, 2018.
JERRY CLARK, SUDR, CPC, AAC practices at 1616 S GOLD ST STE 4, Centralia, WA 98531.
Quick Facts
- NPI
- 1497232060
- Type
- Individual
- Enumerated
- Jul 25, 2018
- Last Updated
- Nov 13, 2020
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