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Individual

BERYL AKINYI NYAMBOK CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 407-1243
Mailing address
50 JEFFERSON AVE APT 209, COLUMBUS, OH 43215-3849

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.179671
OH
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist

Other

Enumeration date
11/04/2020
Last updated
07/22/2024
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