Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID ALLAN CLARK, LADC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · PAGE, NE
Registration Details
- NPI Number
- 1275722365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2007 (18.518757728567 yrs)
- Last Updated
- Nov 18, 2008
- License
-
594 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50196 872ND RDPAGE, NE, 687665539Browse NE providers · Browse ZIP 68766
- Phone
- 4023385510
- Fax
- 4023385510
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.