Rene T Clark
Counselor, Addiction (Substance Use Disorder) in Mattapan, Massachusetts
1922859313- Practice location
- 255 River St, Mattapan, MA 02126-2729
- Phone
- 617-981-9244
- Fax
- —
- Last updated
- April 1, 2024
Rene Theresa Clark is a Counselor, Addiction (Substance Use Disorder) based in Mattapan, MA. Rene Theresa Clark practices in Mattapan, MA. The NPI Number for Rene Theresa Clark is 1922859313 and holds a License No. 187893081 (MA). The current practice location address for Rene Theresa Clark is 255 River St, Mattapan, MA 02126-2729 and can be reached out via phone at 617-981-9244.
Provider Profile Details
- NPI Number
- 1922859313
- Provider Name
- Rene Theresa Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 255 River St, Mattapan, MA 02126-2729
- Phone Number
- 617-981-9244
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2024
- Last Update Date
- April 1, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 255 River St
Mattapan, MA 02126-2729 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2729
- Phone Number
- 617-981-9244
Provider Business Mailing Address Details
- Address
- 75 N Beacon St
Watertown, MA 02472-2671 - City
- Watertown
- State
- MA
- Zip
- 02472-2671
- Phone Number
- 617-661-3991
License Information
- License Number
- 187893081
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rene T Clark?
The NPI number of Rene T Clark is 1922859313. It was assigned on April 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Rene T Clark?
Rene T Clark is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 187893081.
Where does Rene T Clark practice?
The practice location is 255 River St, Mattapan, MA 02126-2729. The office can be reached at 617-981-9244 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922859313 directly on the NPPES registry website.