Alyssa B Clark
Counselor, Addiction (Substance Use Disorder) in Fairfield, OH. Individual provider (NPI-1).
NPI number1124809983
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1124809983
- Entity type
- Individual (NPI-1)
- Name
- Alyssa B Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2023
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
6570 Sosna DrFairfield, OH 45014-2222
Phone 513-942-4673
Mailing address
100 Crowne Point PlCincinnati, OH 45241-5427
Phone 513-743-7628
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All 50 Addiction (Substance Use Disorder) Counselor providers in Fairfield · All 1,701 providers in Fairfield
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