person
Samantha K Clarke, LPC
Addiction (Substance Use Disorder) Counselor in Enfield, Connecticut
NPI 1306103445

Samantha K Clarke is an Addiction (Substance Use Disorder) Counselor based in Windsor, CT and is specialized in Addiction (Substance Use Disorder). Samantha K Clarke practices in Enfield, CT and has the professional credentials of LPC. The NPI Number for Samantha K Clarke is 1306103445 and holds a License No. 002170 (Connecticut).

The current practice location address for Samantha K Clarke is 113 Elm St Ste 204, Enfield, CT and can be reached out via phone at 860-741-3001 and via fax at 086-741-8332.

Location: 113 Elm St Ste 204, Enfield, CT, 06095-2935
person
Provider Profile Details
NPI Number
1306103445
Provider Name
Samantha K Clarke
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
113 Elm St Ste 204, Enfield, CT, 06095-2935
Phone Number
860-741-3001
Fax Number
086-741-8332
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A412956 01 CT OXFORD
4553929 01 CT AETNA
201366 01 CT MNH
004121141 05 CT
321137/A324839 01 CT VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
113 Elm St Ste 204
City
State
Zip
06082-3739
Phone Number
860-741-3001
Fax Number
086-741-8332
person
Provider Business Mailing Address Details
Address
113 Elm St Ste 204
City
State
Zip
06082-3739
Phone Number
860-741-3001
Fax Number
086-741-8332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
002170 (Connecticut)
Definition
Definition to come...
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