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

Kimbrley D Clark, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770995961

Kimbrley D Clark, LICDC-CS is an Addiction (Substance Use Disorder) Counselor in Grafton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

2057 S Avon-Belden Rd
Grafton, OH 44044
Phone: (440) 748-1049
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 121985 (OH)

Record details

NPI number1770995961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC-CS
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESMay 22, 2014

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