Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA KATHALEEN CLARK, LADC
Active Sole ProprietorAMANDA KATHALEEN CLARK, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HIBBING, Minnesota. NPI 1871027730 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HIBBING, MN
Registration Details
- NPI Number
- 1871027730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2017 (9.309773606859 yrs)
- Last Updated
- Apr 18, 2017
- License
-
301773 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
522 E HOWARD ST STE 101HIBBING, MN, 557461714Browse MN providers · Browse ZIP 55746
- Phone
- 2182620860
- Fax
- 2184477299
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HIBBING, MN
| Name | Credential | NPI |
|---|---|---|
| SEAN BUSSEY | LADC | 1679045504 |
| ANTONETTE MARIE FLYNN | — | 1891269478 |
| KASEY BROWN | — | 1871050963 |
| KELLY LOCKHART | LADC | 1205433422 |
| STIG EDWARDSON | LADC | 1235736455 |
| SARA PROCOPIO | LADC | 1134794001 |
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.