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Organization

CLEAN & CLEAR ADVANTAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
C C A (CHIEF OPERATING OFFICER)
(304) 893-9777
Entity
Organization

Contact information

Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(917) 863-4133
Mailing address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 893-9777

Taxonomy

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

Other

Enumeration date
09/15/2020
Last updated
04/28/2026
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