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Provider Profile

Jerry D. Clark, SUDP, CPSS

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At a glance

About Jerry Clark

Listed in the NPI registry as an addiction & substance abuse counselor, Jerry D. Clark, SUDP, CPSS practices in Centralia, WA. NPI 1497232060 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

WA licenceAs reported to the NPI registry
No. CP61099597As reported
WA licenceAs reported to the NPI registry
No. PR70101410As reported
NPINational Provider Identifier
1497232060Issued 2018

As reported to the NPI registry ↗

Common questions

What does Jerry D. Clark, SUDP specialize in?

Jerry D. Clark, SUDP is an addiction & substance abuse counselor in Centralia, WA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jerry D. Clark, SUDP located?

Jerry D. Clark, SUDP is listed at 1126 S Gold St, Centralia, WA 98531. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jerry D. Clark, SUDP's phone number?

The number on file is (360) 827-4929. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jerry D. Clark, SUDP's NPI number?

Jerry D. Clark, SUDP's National Provider Identifier is 1497232060. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jerry D. Clark, SUDP been practicing?

Jerry D. Clark, SUDP has 8+ years experience. Registered with an NPI since 2018. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jerry D. Clark, SUDP confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jerry D. Clark, SUDP. If this is you, claiming it is free.

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