# CLEAN & CLEAR ADVANTAGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790390839
- **Authorized official:** C C A (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (304) 893-9777

## Contact information

- **Practice address:** 425 JULIANA ST, PARKERSBURG, WV 26101-5352
- **Practice address phone:** (917) 863-4133
- **Mailing address:** 425 JULIANA ST, PARKERSBURG, WV 26101-5352
- **Mailing address phone:** (304) 893-9777

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2020
- **Last updated:** 04/28/2026