Individual
FELICIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA185690
OH
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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