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

Judith Ann Clark, MPS, EDS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861717597

Judith Ann Clark, MPS, EDS is an Addiction (Substance Use Disorder) Counselor in Lexington, Kentucky. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
Specialties on file
2

Practice location Address checks out

244 Jefferson St
Lexington, KY 40508-1217
Phone: (859) 233-2225
Fax: (859) 233-9498
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence F854398 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence F854398 (MI)

Record details

NPI number1861717597
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPS , EDS
Sole proprietorYes
NPI enumeratedApril 6, 2010
Last updated in NPPESApril 6, 2010

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