Provider Profile

Jerry D. Clark, SUDR, CPC, AAC

Unclaimed Profile

About Jerry Clark

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Specialty

Addiction & Substance Abuse Counselor (Primary)
Addiction & Substance Abuse Counselor (Additional)

Credentials & Licensing

WA licenseCG60783169
WA licenseCP61099597
NPI1497232060
NPI issued07/25/2018

Source: NPPES NPI Registry

Common questions

What does Jerry D. Clark, SUDR, CPC specialize in?

Jerry D. Clark, SUDR, CPC 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, SUDR, CPC located?

Jerry D. Clark, SUDR, CPC is listed at 1616 S Gold St Ste 4, 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, SUDR, CPC's phone number?

The number on file is (360) 807-4929. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

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

Jerry D. Clark, SUDR, CPC'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, SUDR, CPC been practicing?

Jerry D. Clark, SUDR, CPC 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, SUDR, CPC confirmed this information?

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

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.