MR. Ralph M Clark, CASAC

NPI #1629491071 in Mineola, New York

Provider Information

NPI Number: 1629491071
Entity Type: Individual
Name: MR. Ralph M Clark, CASAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CASAC
Enumeration Date: Jan 21, 2014
Last Updated: Jan 21, 2014

Practice Location

Address: 110 MAIN ST
City: Mineola
State: New York
ZIP Code: 11501-4000
Phone: (516) 747-5644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Individual Providers

Provider Name	Specialty	City
Timothy Page, CASAC	Counselor - Addiction (Substance Use Disorder)	Mineola	AI Deep Dive
Pasquale Esposito	Counselor - Addiction (Substance Use Disorder)	Mineola	AI Deep Dive
MRS. Kieran Gallogly, CASAC	Counselor - Addiction (Substance Use Disorder)	Mineola	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Nassau Alternative Counseling Center	Counselor - Addiction (Substance Use Disorder)	Mineola	AI Deep Dive

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