Latonia Clark
NPI #1316582935 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1316582935
- Entity Type
- Individual
- Name
- Latonia Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 7, 2019
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 500 LIMIT ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-4435
- Phone
- (913) 682-5118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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