Amanda Kathaleen Clark, LADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Hibbing, MN
- NPI
- 1871027730
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 301773 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-04-18
- Last updated
- 2017-04-18
Practice location
522 E Howard St Ste 101
Hibbing, MN 55746-1714
(218) 262-0860