Individual
RONALD CLARKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSATP
Contact information
Practice address
127 TUNSTALL RD, DANVILLE, VA 24541-4236
(434) 835-4476
Mailing address
312 BROOKE DR, DANVILLE, VA 24540-2337
(434) 250-9368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000508
VA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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