person
Mr. John E Clark III
Addiction (Substance Use Disorder) Counselor in Fairfax, Virginia
NPI 1699824763

John E Clark III is an Addiction (Substance Use Disorder) Counselor based in Reston, VA and is specialized in Addiction (Substance Use Disorder). John E Clark III practices in Fairfax, VA. The NPI Number for John E Clark III is 1699824763 and holds a License No. 0710101131 (Virginia).

The current practice location address for John E Clark III is 10390 Democracy Ln, Fairfax, VA and can be reached out via phone at 703-219-2578.

Location: 10390 Democracy Ln, Fairfax, VA, 20191-3009
person
Provider Profile Details
NPI Number
1699824763
Provider Name
John E Clark III
Credential
Provider Entity Type
Individual
Gender
Male
Address
10390 Democracy Ln, Fairfax, VA, 20191-3009
Phone Number
703-219-2578
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10390 Democracy Ln
City
State
Zip
22030-2522
Phone Number
703-219-2578
Fax Number
person
Provider Business Mailing Address Details
Address
10390 Democracy Ln
City
State
Zip
22030-2522
Phone Number
703-219-2578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710101131 (Virginia)
Definition
Definition to come...
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