Adam Clark

NPI #1023383353 in Las Vegas, New Mexico

Provider Information

NPI Number: 1023383353
Entity Type: Individual
Name: Adam Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 720 UNIVERSITY AVE
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4250
Phone: (505) 454-8265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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