Daryl Clarke
Counselor, Addiction (Substance Use Disorder) in Toledo, OH. Individual provider (NPI-1).
NPI number1669905048
StatusActive
Last updated in NPPESApr 4, 2017
Details
- NPI
- 1669905048
- Entity type
- Individual (NPI-1)
- Name
- Daryl Clarke
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2017
- Last updated
- Apr 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 161780 | OH | Yes |
Practice location
1924 Loxley RdToledo, OH 43613-5011
Phone 419-508-3498
Mailing address
1924 Loxley RdToledo, OH 43613-5011
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