Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DEAN CLARK, SUDR, CPC, AAC
ActiveJERRY DEAN CLARK, SUDR, CPC, AAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CENTRALIA, Washington. NPI 1497232060 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CENTRALIA, WA
Registration Details
- NPI Number
- 1497232060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2018 (8.0377759162768 yrs)
- Last Updated
- Nov 13, 2020
- Licenses
-
CG60783169 (WA)CP61099597 (WA)
Practice Information
- Address
-
1616 S GOLD ST STE 4CENTRALIA, WA, 985318930Browse WA providers · Browse ZIP 98531
- Phone
- 3608074929
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CENTRALIA, WA
| Name | Credential | NPI |
|---|---|---|
| RICHARD WHITTINGTON | S.U.D.P. | 1144680927 |
| BRANDY MICHELLE PETERSON | — | 1023559861 |
| MRS. ASHLEY PATRICE BROUSSARD | — | 1376078246 |
| CHAD ERIC HOLMES | CO60709269 | 1831629476 |
| MR. BRENT WILLIAM MICHAUD | — | 1598286791 |
| ANTOINETTE KATHLEEN SMITH | AAC, CDPT | 1639656275 |
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.