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Dominique Clark
Addiction (Substance Use Disorder) Psychologist in Florissant, Missouri
NPI 1841934544

Dominique Clark is an Addiction (Substance Use Disorder) Psychologist based in Saint Louis, MO and is specialized in Addiction (Substance Use Disorder). Dominique Clark practices in Florissant, MO. The NPI Number for Dominique Clark is 1841934544 and holds a License No. (Missouri).

The current practice location address for Dominique Clark is 1150 Graham Rd, Florissant, MO and can be reached out via phone at 314-250-8277.

Location: 1150 Graham Rd, Florissant, MO, 63112-2756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841934544
Provider Name
Dominique Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1150 Graham Rd, Florissant, MO, 63112-2756
Phone Number
314-250-8277
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1150 Graham Rd
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-250-8277
Fax Number
person
Provider Business Mailing Address Details
Address
1150 Graham Rd
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-250-8277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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