Jennifer Lisa Clark, CDCA
Jennifer Lisa Clark, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2021.
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1 Elizabeth PlDayton, OH 45417-3445
Phone: (937) 813-1737
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.182811 (OH) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 177530 (OH) |
Record details
| NPI number | 1245909555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | September 9, 2021 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 26, 2023 |
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