Individual
ANNA LISA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039-3086
(440) 327-1800
(440) 327-1533
Mailing address
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039-3086
(440) 327-1800
(440) 327-1533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
862262
OH
1041C0700X
Clinical Social Worker
I-0007941
OH
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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