Jack Clark
Jack Clark is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
4411 N Cedar AveFresno, CA 93726-2538
Phone: (559) 248-1548
Fax: (229) 248-1530
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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 |
|---|
Record details
| NPI number | 1477799112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 31, 2008 |
| Last updated in NPPES | December 31, 2008 |
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