Individual
DR. KEVIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAOM, LAC, NCC, EMDR
Contact information
Practice address
543 OLD YORK RD, ALLENTOWN, NJ 08501-1808
(302) 249-0143
Mailing address
543 OLD YORK RD, ALLENTOWN, NJ 08501-1808
(302) 249-0143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2025-000205
NJ
101YP2500X
Professional Counselor
37AC00916700
NJ
171100000X
Acupuncturist
Primary
25MZ00104200
NJ
171100000X
Acupuncturist
CQ-0000029
DE
Other
Enumeration date
12/30/2010
Last updated
10/31/2025
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