Katlyn Clark

NPI #1972374536 in Beaver, Ohio

Provider Information

NPI Number: 1972374536
Entity Type: Individual
Name: Katlyn Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 12, 2024
Last Updated: Jan 12, 2024

Practice Location

Address: 2660 ADAMS RD
City: Beaver
State: Ohio
ZIP Code: 45613-9798
Phone: (740) 947-2364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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