Individual
RONSONLYN S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0017
KY
Other
Enumeration date
08/02/2006
Last updated
08/29/2007
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