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Mr. Richard Sheldon Clark
Addiction (Substance Use Disorder) Counselor in Lithopolis, Ohio
NPI 1366922684

Richard Sheldon Clark is an Addiction (Substance Use Disorder) Counselor based in Lithopolis, OH and is specialized in Addiction (Substance Use Disorder). Richard Sheldon Clark practices in Lithopolis, OH. The NPI Number for Richard Sheldon Clark is 1366922684 and holds a License No. 141101 (Ohio).

The current practice location address for Richard Sheldon Clark is 311 Penny Dr, Lithopolis, OH and can be reached out via phone at 614-592-8385.

Location: 311 Penny Dr, Lithopolis, OH, 43136-9704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366922684
Provider Name
Richard Sheldon Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
311 Penny Dr, Lithopolis, OH, 43136-9704
Phone Number
614-592-8385
Fax Number
Provider Enumeration Date
08/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14304331 05 OH
institution
Provider Business Practice Location Address Details
Address
311 Penny Dr
City
Lithopolis
State
Ohio
Zip
43136-9704
Phone Number
614-592-8385
Fax Number
person
Provider Business Mailing Address Details
Address
311 Penny Dr
City
Lithopolis
State
Ohio
Zip
43136-9704
Phone Number
614-592-8385
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
141101 (Ohio)
Definition
Definition to come...
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