Carey L Clark, MS, CRSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manchester, NH
NPI 1104446863 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1104446863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 140 Queen City Ave
Manchester, NH 03103-7122 - Phone
- (603) 622-3020
- Fax
- (603) 624-4290
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
140 Queen City Ave
Manchester, NH 03103-7122
Mailing address
140 Queen City Ave
Manchester, NH 03103-7122
Phone (603) 622-3020
Other providers in Manchester, NH
- Citizen Med
- Theresa M Ciulla
- Teoni M Clacks
- Claim Path New Hampshire, LLC
- Molly Katherine Clancy
- David Clark
- Heather W Clark
- Kacie Megan Clark
- Melanie Clark
- Sherry Marie Clark
All providers in Manchester, NH · Addiction (Substance Use Disorder) Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.