Individual
JARED NATHANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 HERLONG AVE S, ROCK HILL, SC 29732-1186
(803) 324-0404
Mailing address
199 S HERLONG AVE, ROCK HILL, SC 29732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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