Individual
LOUISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
3044 CONEY ISLAND AVE STE 3, BROOKLYN, NY 11235-5224
(718) 265-4200
Mailing address
3044 CONEY ISLAND AVE STE 3, BROOKLYN, NY 11235-5224
(718) 265-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18650
NY
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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