| Benjamin A Clark, | |
|
1028 Walnut St, Yankton, SD 57078-2910 | |
| (605) 665-4606 | |
| Not Available |
| Full Name | Benjamin A Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1028 Walnut St, Yankton, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083385124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8512 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A Clark, 1310 W 30th St, Yankton, SD 57078-5385 Ph: () - | Benjamin A Clark, 1028 Walnut St, Yankton, SD 57078-2910 Ph: (605) 665-4606 |
Allison Rouillard, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Molly Huber, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Ashley Olivier, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 Fax: 605-665-4673 | |
Shawn Coles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Wesley Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Jennifer Kuo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 | |
Justin Lee Boulware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1028 Walnut St, Yankton, SD 57078 Phone: 605-665-4606 |