person
Jack Clark
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1477799112

Jack Clark is an Addiction (Substance Use Disorder) Counselor based in Sanger, CA and is specialized in Addiction (Substance Use Disorder). Jack Clark practices in Fresno, CA. The NPI Number for Jack Clark is 1477799112 and holds a License No. (California).

The current practice location address for Jack Clark is 4411 N Cedar Ave, Fresno, CA and can be reached out via phone at 559-248-1548 and via fax at 229-248-1530.

Location: 4411 N Cedar Ave, Fresno, CA, 93657-2849
person
Provider Profile Details
NPI Number
1477799112
Provider Name
Jack Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4411 N Cedar Ave, Fresno, CA, 93657-2849
Phone Number
559-248-1548
Fax Number
229-248-1530
Provider Enumeration Date
12/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4411 N Cedar Ave
City
State
Zip
93726-2538
Phone Number
559-248-1548
Fax Number
229-248-1530
person
Provider Business Mailing Address Details
Address
4411 N Cedar Ave
City
State
Zip
93726-2538
Phone Number
559-248-1548
Fax Number
229-248-1530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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