Katlyn Clark
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Beaver, OH
NPI 1972374536 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1972374536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2660 Adams Rd
Beaver, OH 45613-9798 - Phone
- (740) 947-2364
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2660 Adams Rd
Beaver, OH 45613-9798
Mailing address
2915 Salem Cave Rd
Beaver, OH 45613-9768
Other providers in Beaver, OH
- Shawna Diane Bobst
- Erika Lynn Boedeker
- Brandi Renae Brinson
- Cecilia Renee Cantrell
- Curtis Allen Clark
- Community Action Committee of Pike Co..,Inc.
- Christopher Conley
- Donna J Copley
- Olivia Cornwell
- Kristal Shay Dailey
All providers in Beaver, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. 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.