Ruben Ray Clark, A.P.S.S
Peer Specialist in Jamestown, KY. Individual provider (NPI-1).
NPI number1265242598
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1265242598
- Entity type
- Individual (NPI-1)
- Name
- Ruben Ray Clark
- Credential
- A.P.S.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2025
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | KY | Yes |
Practice location
119 Herrifords CirJamestown, KY 42629-2520
Phone 270-343-2551
Mailing address
119 Herrifords CirJamestown, KY 42629-2520
Phone 270-343-2551
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Other Peer Specialist providers in Jamestown, KY
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All 11 Peer Specialist providers in Jamestown · All 105 providers in Jamestown
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