Mr. Ralph M Clark, CASAC
Mr. Ralph M Clark, CASAC is an Addiction (Substance Use Disorder) Counselor in Mineola, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
110 Main StMineola, NY 11501-4000
Phone: (516) 747-5644
Fax: (516) 747-2556
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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 3827 (NY) |
|---|
Record details
| NPI number | 1629491071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2014 |
| Last updated in NPPES | January 21, 2014 |
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Alyssa Rose Angelillo, LCSW, CASAC
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