# ANGELA CLARK

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

## Provider details

- **NPI number:** 1710413331
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | BBH-LAC-LIC-23996 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-78973 | MT | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 09/11/2026