Individual
TORY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDAC INTER
Contact information
Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
(775) 348-2889
Mailing address
467 RALSTON ST, RENO, NV 89503-4432
(775) 997-7524
(775) 236-0618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61350
NV
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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