person
Leesa G Clark, LICDC
Addiction (Substance Use Disorder) Counselor in Lorain, Ohio
NPI 1447610910

Leesa G Clark is an Addiction (Substance Use Disorder) Counselor based in Lorain, OH and is specialized in Addiction (Substance Use Disorder). Leesa G Clark practices in Lorain, OH and has the professional credentials of LICDC. The NPI Number for Leesa G Clark is 1447610910 and holds a License No. ICDC.081105 (Ohio).

The current practice location address for Leesa G Clark is 2115 W Park Dr, Lorain, OH and can be reached out via phone at 440-989-4987 and via fax at 440-282-4779. You can also correspond with Leesa G Clark through the mailing address at 2115 W PARK DR, LORAIN, OH - 44053-1138 (mailing address contact number: 440-989-4987).

Location: 2115 W Park Dr, Lorain, OH, 44053-1138
person
Provider Profile Details
NPI Number
1447610910
Provider Name
Leesa G Clark
Credential
LICDC
Provider Entity Type
Individual
Gender
Female
Address
2115 W Park Dr, Lorain, OH, 44053-1138
Phone Number
440-989-4987
Fax Number
440-282-4779
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ICDC.081105 01 OH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2115 W Park Dr
City
State
Zip
44053-1138
Phone Number
440-989-4987
Fax Number
440-282-4779
person
Provider Business Mailing Address Details
Address
2115 W Park Dr
City
State
Zip
44053-1138
Phone Number
440-989-4987
Fax Number
440-282-4779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ICDC.081105 (Ohio)
Definition
Definition to come...
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