person
Mr. Ralph M Clark, CASAC
Addiction (Substance Use Disorder) Counselor in Mineola, New York
NPI 1629491071

Ralph M Clark is an Addiction (Substance Use Disorder) Counselor based in Mineola, NY and is specialized in Addiction (Substance Use Disorder). Ralph M Clark practices in Mineola, NY and has the professional credentials of CASAC. The NPI Number for Ralph M Clark is 1629491071 and holds a License No. 3827 (New York).

The current practice location address for Ralph M Clark is 110 Main St, Mineola, NY and can be reached out via phone at 516-747-5644 and via fax at 516-747-2556. You can also correspond with Ralph M Clark through the mailing address at 110 MAIN ST, MINEOLA, NY - 11501-4000 (mailing address contact number: 516-747-5644).

Location: 110 Main St, Mineola, NY, 11501-4000
person
Provider Profile Details
NPI Number
1629491071
Provider Name
Ralph M Clark
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
110 Main St, Mineola, NY, 11501-4000
Phone Number
516-747-5644
Fax Number
516-747-2556
Provider Enumeration Date
01/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Main St
City
State
Zip
11501-4000
Phone Number
516-747-5644
Fax Number
516-747-2556
person
Provider Business Mailing Address Details
Address
110 Main St
City
State
Zip
11501-4000
Phone Number
516-747-5644
Fax Number
516-747-2556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3827 (New York)
Definition
Definition to come...
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