Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEESA G CLARK, LICDC
Active Sole ProprietorLEESA G CLARK, LICDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LORAIN, Ohio. NPI 1447610910 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LORAIN, OH
Registration Details
- NPI Number
- 1447610910
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2016 (10.419893724675 yrs)
- Last Updated
- Jul 7, 2016
- License
-
ICDC.081105 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2115 W PARK DRLORAIN, OH, 440531138Browse OH providers · Browse ZIP 44053
- Phone
- 4409894987
- Fax
- 4402824779
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LORAIN, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA MICHELLE ELLIOTT | LICDC | 1073644373 |
| KARYN TREMONTO | — | 1255581914 |
| MS. KELLY MARIE YOUNG | LCDC II | 1306144167 |
| RITA LAUDERMILT | LSW | 1942545751 |
| MR. CHRISTOPHER D ROBINSON | LCDC II, ICADC | 1578945739 |
| MS. EVA LOZANO | CDCA | 1821470881 |
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.