Sherri Dee Clark
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hampden, ME
NPI 1649475302 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649475302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 333777 (ME)
- Practice address
- 52 Sunset Ave
Hampden, ME 04444-1619 - Phone
- (207) 244-4012
- Fax
- (207) 244-4013
- NPI assigned
- Jun 20, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333777 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 333777 | ME | Yes |
Addresses
Primary practice location
52 Sunset Ave
Hampden, ME 04444-1619
Mailing address
52 Sunset Ave
Hampden, ME 04444-1619
Phone (207) 244-4012
Other providers in Hampden, ME
- Pamela J Carter
- Donna Lee Casavant
- Erin Marie Chandler
- Citizens of Maine, LLC
- Cristina Ann Clark
- Trystan Morgan Collett
- Suzanne Corson
- Ann Marie Covey
- Caroline M Cox
- Randall Peter Cutri
All providers in Hampden, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.