Terry R Clark in Glenwood Springs - Addiction (substance Use Disorder)
Terry R Clark - NPI 1891749768
Terry R Clark is a Addiction (substance Use Disorder) in Glenwood Springs, Colorado. Terry R Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Terry R Clark is 1891749768. The last update date is 2008-08-04.
Terry R Clark's current location address is Po Box 40, Glenwood Springs, Colorado. You can contact this provider via phone number 9709452241 and fax number 9709455523. The mailing address for Terry R Clark is Po Box 40, Glenwood Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry R Clark |
|---|---|
| Address | Po Box 40, Glenwood Springs, Colorado |
| Phone Number | 9709452241 |
| Fax Number | 9709455523 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891749768 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | Po Box 40 |
|---|---|
| City | Glenwood Springs |
| State | Colorado (CO) |
| Post Code | 816020040 |
| Phone Number | 9709452241 |
| Fax Number | 9709455523 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6241 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Terry R Clark by the Centers for Medicare & Medicaid Services?
The Terry R Clark has been assigned the NPI (National Provider Identifier) 1891749768. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Terry R Clark's physical address?
The Terry R Clark is physically located at Po Box 40, in the city of Glenwood Springs, CO, with the postal code 816020040.
What is Terry R Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry R Clark's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Terry R Clark receive the assignment of its 1891749768 from the Centers for Medicare & Medicaid Services?
The Terry R Clark was issued its 1891749768 by the Centers for Medicare & Medicaid Services on 2006-05-22.
When was the information pertaining to Terry R Clark most recently updated or revised?
The details related to Terry R Clark, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-04.