person
Broderick Pierre Clark, MASTERINSOCIALWOR
Addiction (Substance Use Disorder) Counselor in Colorado Springs, Colorado
NPI 1659911402

Broderick Pierre Clark is an Addiction (Substance Use Disorder) Counselor based in Colorado Springs, CO and is specialized in Addiction (Substance Use Disorder). Broderick Pierre Clark practices in Colorado Springs, CO and has the professional credentials of MASTERINSOCIALWOR. The NPI Number for Broderick Pierre Clark is 1659911402 and holds a License No. (Colorado).

The current practice location address for Broderick Pierre Clark is 2565 Airport Rd, Colorado Springs, CO and can be reached out via phone at 719-632-3510 and via fax at 719-632-3534.

Location: 2565 Airport Rd, Colorado Springs, CO, 80910-3119
person
Provider Profile Details
NPI Number
1659911402
Provider Name
Broderick Pierre Clark
Credential
MASTERINSOCIALWOR
Provider Entity Type
Individual
Gender
Male
Address
2565 Airport Rd, Colorado Springs, CO, 80910-3119
Phone Number
719-632-3510
Fax Number
719-632-3534
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2565 Airport Rd
City
State
Zip
80910-3119
Phone Number
719-632-3510
Fax Number
719-632-3534
person
Provider Business Mailing Address Details
Address
2565 Airport Rd
City
State
Zip
80910-3119
Phone Number
719-632-3510
Fax Number
719-632-3534
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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