Timothy Clark
Timothy Clark is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2015.
- Licensed in
- ND
- In the registry since
- 2015
Practice location Address checks out
4215 9th Ave SFargo, ND 58103-2018
Phone: (701) 478-9554
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1744 (ND) |
|---|
Record details
| NPI number | 1831576271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 6, 2015 |
| Last updated in NPPES | May 6, 2015 |
| Mailing address | 4215 9th Ave S, Fargo, ND 58103-2018 |
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