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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053295675

Marybeth Clark, BS is an Addiction (Substance Use Disorder) Counselor in Metropolis, Illinois. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2025
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

206 W 5th St
Metropolis, IL 62960-1810
Phone: (618) 524-9368
Fax: (618) 524-9368
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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 · Licence 275760 (KY)

Record details

NPI number1053295675
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address206 W 5th St, Metropolis, IL 62960-1810

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