Individual
RHONDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W COURT ST, PRESTONSBURG, KY 41653-7732
(606) 886-9989
Mailing address
207 W COURT ST, PRESTONSBURG, KY 41653-7732
(606) 886-9989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
810154
KY
291U00000X
Clinical Medical Laboratory
—
KY
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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