Clark, Marcia

Clark, Marcia is an individual health care provider with primary practice located at 1062 State Route 38 , Owego NY 13827-3209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Clark, Marcia can be contacted via phone (607) 687-4000.

Contact Information

Primary practice address
1062 State Route 38 Owego NY 13827-3209
Phone: (607) 687-4000
Fax: (607) 687-6396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18570 New York

Profile Details

NPI number 1053585471
LBN Legal business name Clark, Marcia
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053585471 NPPES
New York Other 00618162 GROUP MEDICAID NUMBER

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