Individual
WHITNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 ROUTE 37 W, TOMS RIVER, NJ 08755-5032
(800) 805-6989
Mailing address
908 BEACON AVE, BRICK, NJ 08723-5102
(609) 744-1347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00170500
NJ
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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