Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOELLA RUTH CLARK, LSAA
ActiveJOELLA RUTH CLARK, LSAA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ROSWELL, New Mexico. NPI 1063155729 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ROSWELL, NM
Registration Details
- NPI Number
- 1063155729
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2022 (4.1381426113908 yrs)
- Last Updated
- Apr 19, 2022
- License
-
CSA0211641 (NM)
Practice Information
- Address
-
72 GAIL HARRIS STROSWELL, NM, 882038116Browse NM providers · Browse ZIP 88203
- Phone
- 5753473400
- Fax
- 5753473435
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ROSWELL, NM
| Name | Credential | NPI |
|---|---|---|
| PHILOMENA LUIZ | LADAC | 1912139254 |
| JAMES PRINCE | — | 1518227529 |
| MRS. SANDRA BERENICE MENDOZA | LBSW | 1417302563 |
| JEWELL CODY | LADAC | 1861050320 |
| MRS. CASSONDA ANNE STAFFORD | LADAC | 1356900559 |
| ANGEL R GORDO | LSAA | 1861033409 |
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.