Terry R Clark
Counselor, Addiction (Substance Use Disorder) in Grand Junction, CO. Individual provider (NPI-1).
NPI number1891749768
StatusActive
Last updated in NPPESAug 4, 2008
Details
- NPI
- 1891749768
- Entity type
- Individual (NPI-1)
- Name
- Terry R Clark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Aug 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 6241 | CO | Yes |
Practice location
515 28 3/4 RdGrand Junction, CO 81501-5016
Phone 970-241-6023 · Fax 970-242-8330
Mailing address
Po Box 40Glenwood Springs, CO 81602-0040
Phone 970-945-2241 · Fax 970-945-5523
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All 45 Addiction (Substance Use Disorder) Counselor providers in Grand Junction · All 4,673 providers in Grand Junction
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