Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORNELIUS CLARK JR.
ActiveCORNELIUS CLARK JR. is a Behavioral Health Technician healthcare provider located in GARY, Indiana. NPI 1548805880 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · GARY, IN
Registration Details
- NPI Number
- 1548805880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2019 (6.7842334883601 yrs)
- Last Updated
- Nov 11, 2019
Practice Information
- Address
-
1100 W 6TH AVEGARY, IN, 464021711Browse IN providers · Browse ZIP 46402
- Phone
- 2198854264
- Primary Specialty
-
Behavioral Health Technician
374700000X
Other Behavioral Health Technician Providers in GARY, IN
| Name | Credential | NPI |
|---|---|---|
| ALISHA PATRICE GUNN | — | 1275022691 |
| JOHN MARSHALL | — | 1851047302 |
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.