Individual
ASHLEY MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGHVIEW BLVD, COLUMBUS, OH 43207-6023
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016896
—
OH
Enumeration date
05/18/2023
Last updated
05/25/2023
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