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

MS. Connetra Lashan Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306293162

MS. Connetra Lashan Clark is an Addiction (Substance Use Disorder) Counselor in Gainesville, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1900 SE 4th St 42
Gainesville, FL 32641-8791
Phone: (352) 642-4775
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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

Record details

NPI number1306293162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address1900 Se 4th St, 42, Gainesville, FL 32641-8791

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