Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVA CLARK
Active Sole ProprietorAVA CLARK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PEEKSKILL, New York. NPI 1417546110 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PEEKSKILL, NY
Registration Details
- NPI Number
- 1417546110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2021 (5.5739462825224 yrs)
- Last Updated
- Jan 16, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1037 MAIN STPEEKSKILL, NY, 105662913Browse NY providers · Browse ZIP 10566
- Phone
- 9147348740
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PEEKSKILL, NY
| Name | Credential | NPI |
|---|---|---|
| EDWIN CALERO | CASAC | 1043375165 |
| ESPERANZA GRANGER | CASAC | 1528123650 |
| KENNETH OSBORNE | CASAC | 1376608315 |
| WALTER R WYATT | CASAC | 1669723227 |
| LOUIS F. REY | CASAC | 1619313681 |
| MS. LEYLA I DITTERLIZZI | MS CASAC | 1912345489 |
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.