person
Mrs. Eleanor Ann Clark II, BA,CADC
Addiction (Substance Use Disorder) Counselor in Hackensack, New Jersey
NPI 1316519655

Eleanor Ann Clark II is an Addiction (Substance Use Disorder) Counselor based in Hackensack, NJ and is specialized in Addiction (Substance Use Disorder). Eleanor Ann Clark II practices in Hackensack, NJ and has the professional credentials of BA,CADC. The NPI Number for Eleanor Ann Clark II is 1316519655 and holds a License No. 37CA00065700 (New Jersey).

The current practice location address for Eleanor Ann Clark II is 84 Main St, Hackensack, NJ and can be reached out via phone at 201-471-5694. You can also correspond with Eleanor Ann Clark II through the mailing address at 84 MAIN ST, HACKENSACK, NJ - 07601-7143 (mailing address contact number: 201-471-5694).

Location: 84 Main St, Hackensack, NJ, 07601-7143
person
Provider Profile Details
NPI Number
1316519655
Provider Name
Eleanor Ann Clark II
Credential
BA,CADC
Provider Entity Type
Individual
Gender
Female
Address
84 Main St, Hackensack, NJ, 07601-7143
Phone Number
201-471-5694
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0183385 05 NJ
institution
Provider Business Practice Location Address Details
Address
84 Main St
City
State
Zip
07601-7143
Phone Number
201-471-5694
Fax Number
person
Provider Business Mailing Address Details
Address
84 Main St
City
State
Zip
07601-7143
Phone Number
201-471-5694
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37CA00065700 (New Jersey)
Definition
Definition to come...
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