Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYBETH CLARK, BS
Active Sole ProprietorMARYBETH CLARK, BS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in METROPOLIS, Illinois. NPI 1053295675 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · METROPOLIS, IL
Registration Details
- NPI Number
- 1053295675
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2025 (0.99878902289621 yrs)
- Last Updated
- Aug 5, 2025
- License
-
275760 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 W 5TH STMETROPOLIS, IL, 629601810Browse IL providers · Browse ZIP 62960
- Phone
- 6185249368
- Fax
- 6185249368
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in METROPOLIS, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MONA R HOYLE | MRC | 1851414387 |
| TENA MEEKS | B.S. | 1285904987 |
| MS. MARIBETH DIPPIE ETHRIDGE-HICKS | — | 1447863063 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.