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

Joella Ruth Clark, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063155729

Joella Ruth Clark, LSAA is an Addiction (Substance Use Disorder) Counselor in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

72 Gail Harris St
Roswell, NM 88203-8116
Phone: (575) 347-3400
Fax: (575) 347-3435
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 CSA0211641 (NM)

Record details

NPI number1063155729
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSAA
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address72 Gail Harris St, Roswell, NM 88203-8116

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