Active NPIIndividual provider

John D Clark III, CADC

Counselor, Addiction (Substance Use Disorder) in Augusta, Maine

NPI Number1194541722
Practice location
9 Green St Ste 310, Augusta, ME 04330-7451
Fax
—
Last updated
November 27, 2024

John David Clark is a Counselor, Addiction (Substance Use Disorder) based in Augusta, ME. John David Clark practices in Augusta, ME and has the professional credentials of CADC. The NPI Number for John David Clark is 1194541722 and holds a License No. CAC7844 (ME). The current practice location address for John David Clark is 9 Green St Ste 310, Augusta, ME 04330-7451 and can be reached out via phone at 207-907-8692.

Provider Profile Details

NPI Number
1194541722
Provider Name
John David Clark
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
9 Green St Ste 310, Augusta, ME 04330-7451
Phone Number
207-907-8692
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2024
Last Update Date
November 27, 2024
Certification Date
November 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Green St Ste 310
Augusta, ME 04330-7451
State
Maine
Zip
04330-7451
Phone Number
207-907-8692
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
9 Green St Ste 310
Augusta, ME 04330-7451
City
Augusta
State
ME
Zip
04330-7451
Phone Number
207-907-8692

License Information

License Number
CAC7844
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John D Clark III, CADC?

The NPI number of John D Clark III, CADC is 1194541722. It was assigned on November 27, 2024 and is currently active in the NPPES registry.

What is the specialty of John D Clark III, CADC?

John D Clark III, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC7844.

Where does John D Clark III, CADC practice?

The practice location is 9 Green St Ste 310, Augusta, ME 04330-7451. The office can be reached at 207-907-8692 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194541722 directly on the NPPES registry website.

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