Clifford Jack, LSAA
Clifford Jack, LSAA is an Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.
- Licensed in
- NM
- In the registry since
- 2018
Practice location Address checks out
511 E 20th StFarmington, NM 87401-2105
Phone: (505) 564-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 0192461 (NM) |
|---|
Record details
| NPI number | 1679078851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LSAA |
| Sole proprietor | No |
| NPI enumerated | March 28, 2018 |
| Last updated in NPPES | March 28, 2018 |
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-
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