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Brandy A Clark
Addiction (Substance Use Disorder) Counselor in Richmond, Indiana
NPI 1427628197

Brandy A Clark is an Addiction (Substance Use Disorder) Counselor based in Muncie, IN and is specialized in Addiction (Substance Use Disorder). Brandy A Clark practices in Richmond, IN. The NPI Number for Brandy A Clark is 1427628197 and holds a License No. (Indiana).

The current practice location address for Brandy A Clark is 498 Nw 18Th St Ste C, Richmond, IN and can be reached out via phone at 765-373-8704 and via fax at 765-488-2609. You can also correspond with Brandy A Clark through the mailing address at 240 N TILLOTSON AVE, MUNCIE, IN - 47304-3988 (mailing address contact number: 765-288-1928).

Location: 498 Nw 18Th St Ste C, Richmond, IN, 47304-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427628197
Provider Name
Brandy A Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
498 Nw 18Th St Ste C, Richmond, IN, 47304-3988
Phone Number
765-373-8704
Fax Number
765-488-2609
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
498 Nw 18Th St Ste C
City
Richmond
State
Indiana
Zip
47374-2851
Phone Number
765-373-8704
Fax Number
765-488-2609
person
Provider Business Mailing Address Details
Address
240 N Tillotson Ave
City
Muncie
State
Indiana
Zip
47304-3988
Phone Number
765-288-1928
Fax Number
765-741-0310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
87900068A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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