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

Rene Theresa Clark

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922859313

Rene Theresa Clark is an Addiction (Substance Use Disorder) Counselor in Mattapan, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

255 River St
Mattapan, MA 02126-2729
Phone: (617) 981-9244
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 187893081 (MA)

Record details

NPI number1922859313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 25, 2024

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