person
Joseph Clark, TCADC
Addiction (Substance Use Disorder) Counselor in Mt Washington, Kentucky
NPI 1114777653

Joseph Clark is an Addiction (Substance Use Disorder) Counselor based in Mt Washington, KY and is specialized in Addiction (Substance Use Disorder). Joseph Clark practices in Mt Washington, KY and has the professional credentials of TCADC. The NPI Number for Joseph Clark is 1114777653 and holds a License No. 287091 (Kentucky).

The current practice location address for Joseph Clark is 130 Hope St, Mt Washington, KY and can be reached out via phone at 502-904-9217 and via fax at 502-904-0856.

Location: 130 Hope St, Mt Washington, KY, 40047-7772
person
Provider Profile Details
NPI Number
1114777653
Provider Name
Joseph Clark
Credential
TCADC
Provider Entity Type
Individual
Gender
Male
Address
130 Hope St, Mt Washington, KY, 40047-7772
Phone Number
502-904-9217
Fax Number
502-904-0856
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
130 Hope St
City
State
Zip
40047-7772
Phone Number
502-904-9217
Fax Number
502-904-0856
person
Provider Business Mailing Address Details
Address
130 Hope St
City
State
Zip
40047-7772
Phone Number
502-904-9217
Fax Number
502-904-0856
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
287091 (Kentucky)
Definition
Definition to come...
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