Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639965353

Amanda Clark is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

2357 W Mason St
Green Bay, WI 54303-4708
Phone: (920) 337-6740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19549 (WI)

Record details

NPI number1639965353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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