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Jason Clark
Addiction (Substance Use Disorder) Counselor in Mount Orab, Ohio
NPI 1629741004

Jason Clark is an Addiction (Substance Use Disorder) Counselor based in Mount Orab, OH and is specialized in Addiction (Substance Use Disorder). Jason Clark practices in Mount Orab, OH. The NPI Number for Jason Clark is 1629741004 and holds a License No. (Ohio).

The current practice location address for Jason Clark is 149 Mercy Blvd, Mount Orab, OH and can be reached out via phone at 119-377-1231.

Location: 149 Mercy Blvd, Mount Orab, OH, 45154-0296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629741004
Provider Name
Jason Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
149 Mercy Blvd, Mount Orab, OH, 45154-0296
Phone Number
119-377-1231
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 Mercy Blvd
City
Mount Orab
State
Ohio
Zip
45154-0296
Phone Number
119-377-1231
Fax Number
person
Provider Business Mailing Address Details
Address
149 Mercy Blvd
City
Mount Orab
State
Ohio
Zip
45154-0296
Phone Number
119-377-1231
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.
()
Definition
Definition to come...
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