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Individual

CLARK ALLEN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3710 E 20TH AVE, ANCHORAGE, AK 99508-3418
(907) 222-7300
Mailing address
8339 SPRUCE ST, ANCHORAGE, AK 99507-3242
(907) 717-9175

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/14/2020
Last updated
04/21/2022
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