| Charles E Clark Iii, MSW, LSW | |
|
255 Main Street, St. Clairsville, OH 43950 | |
| (740) 695-9447 | |
| Not Available |
| Full Name | Charles E Clark Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 255 Main Street, St. Clairsville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568971653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Clark Iii, MSW, LSW Po Box 118, Saint Clairsville, OH 43950-0118 Ph: (740) 695-9447 | Charles E Clark Iii, MSW, LSW 255 Main Street, St. Clairsville, OH 43950 Ph: (740) 695-9447 |
Penny Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 | |
Julie Cerra, Counselor Medicare: Medicare Enrolled Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 | |
Matthew Burriss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 | |
Cayla Marie Hanes, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Coleman Health Services, 61580 Bayberry Dr., St. Clairsville, OH 43950 Phone: 740-996-7010 Fax: 740-346-0236 | |
Chad Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Drive, St. Clairsville, OH 43950 Phone: 740-526-0204 Fax: 740-526-0207 |