# MICHAEL D CLARKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295549079
- **Gender:** Man
- **Credential:** ADT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADT3733 | MD | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025