Colleen L Clark in Garden City - Addiction (substance Use Disorder)
Colleen L Clark - NPI 1962582858
Colleen L Clark is a Addiction (substance Use Disorder) in Garden City, Kansas. Colleen L Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Colleen L Clark is 1962582858. The last update date is 2007-07-08.
Colleen L Clark's current location address is 402 E Fulton Ste #5, Garden City, Kansas. You can contact this provider via phone number 6202710005. The mailing address for Colleen L Clark is 402 E Fulton Ste #5, Garden City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen L Clark |
|---|---|
| Address | 402 E Fulton Ste #5, Garden City, Kansas |
| Phone Number | 6202710005 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MAC NCACII |
NPI Number Detail
| NPI Number | 1962582858 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 402 E Fulton Ste #5 |
|---|---|
| City | Garden City |
| State | Kansas (KS) |
| Post Code | 67846 |
| Phone Number | 6202710005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 603 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Colleen L Clark's unique identification number?
The Colleen L Clark has been assigned the NPI (National Provider Identifier) Number 1962582858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Colleen L Clark is physically located?
The Colleen L Clark is situated at the following address: 402 E Fulton Ste #5, Garden City, KS 67846.
What is Colleen L Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Colleen L Clark's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When was the Colleen L Clark's 1962582858 issued?
The Colleen L Clark's 1962582858 was issued on 2006-10-16.
As of what date were the Colleen L Clark's details last updated?
The information pertaining to the Colleen L Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.