Kimbrley D Clark, LICDC-CS

NPI #1770995961 in Grafton, Ohio

Provider Information

NPI Number
1770995961
Entity Type
Individual
Name
Kimbrley D Clark, LICDC-CS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LICDC-CS
Enumeration Date
May 22, 2014
Last Updated
May 22, 2014

Practice Location

Address
2057 S. AVON-BELDEN RD
State
Ohio
ZIP Code
44044
Phone
(440) 748-1049

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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