MISS Josie Clark, CDCA

NPI #1245798289 in Lima, Ohio

Provider Information

NPI Number: 1245798289
Entity Type: Individual
Name: MISS Josie Clark, CDCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA
Enumeration Date: Mar 8, 2019
Last Updated: Mar 23, 2023

Practice Location

Address: 311 E MARKET ST STE 3
City: Lima
State: Ohio
ZIP Code: 45801-4535
Phone: (419) 222-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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