person
Joella Ruth Clark, LSAA
Addiction (Substance Use Disorder) Counselor in Roswell, New Mexico
NPI 1063155729

Joella Ruth Clark is an Addiction (Substance Use Disorder) Counselor based in Roswell, NM and is specialized in Addiction (Substance Use Disorder). Joella Ruth Clark practices in Roswell, NM and has the professional credentials of LSAA. The NPI Number for Joella Ruth Clark is 1063155729 and holds a License No. CSA0211641 (New Mexico).

The current practice location address for Joella Ruth Clark is 72 Gail Harris St, Roswell, NM and can be reached out via phone at 575-347-3400 and via fax at 575-347-3435.

Location: 72 Gail Harris St, Roswell, NM, 88203-8116
person
Provider Profile Details
NPI Number
1063155729
Provider Name
Joella Ruth Clark
Credential
LSAA
Provider Entity Type
Individual
Gender
Female
Address
72 Gail Harris St, Roswell, NM, 88203-8116
Phone Number
575-347-3400
Fax Number
575-347-3435
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
72 Gail Harris St
City
State
Zip
88203-8116
Phone Number
575-347-3400
Fax Number
575-347-3435
person
Provider Business Mailing Address Details
Address
72 Gail Harris St
City
State
Zip
88203-8116
Phone Number
575-347-3400
Fax Number
575-347-3435
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSA0211641 (New Mexico)
Definition
Definition to come...
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