person
James A Clark, CADCIII
Addiction (Substance Use Disorder) Counselor in Fort Atkinson, Wisconsin
NPI 1356365316

James A Clark is an Addiction (Substance Use Disorder) Counselor based in Fort Atkinson, WI and is specialized in Addiction (Substance Use Disorder). James A Clark practices in Fort Atkinson, WI and has the professional credentials of CADCIII. The NPI Number for James A Clark is 1356365316 and holds a License No. 484 (Wisconsin).

The current practice location address for James A Clark is 509 Mcmillen St, Fort Atkinson, WI and can be reached out via phone at 920-563-7995 and via fax at 920-568-6047.

Location: 509 Mcmillen St, Fort Atkinson, WI, 53538-1263
person
Provider Profile Details
NPI Number
1356365316
Provider Name
James A Clark
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
509 Mcmillen St, Fort Atkinson, WI, 53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39344700 05 WI
institution
Provider Business Practice Location Address Details
Address
509 Mcmillen St
City
State
Zip
53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
person
Provider Business Mailing Address Details
Address
509 Mcmillen St
City
State
Zip
53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
484 (Wisconsin)
Definition
Definition to come...
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