Kimbrley D Clark, LICDC-CS - Counselor in Grafton, OH

Kimbrley D Clark, LICDC-CS is a Counselor - Addiction (substance Use Disorder) based in Grafton, Ohio. Kimbrley D Clark is licensed to practice in Ohio (license number 121985) and her current practice location is 2057 S. Avon-belden Rd, Grafton, Ohio. She can be reached at her office (for appointments etc.) via phone at (440) 748-1049.

NPI number for Kimbrley D Clark is 1770995961 and her current mailing address is 41821 Whitney Rd, Lagrange, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770995961.

Contact Information

Kimbrley D Clark, LICDC-CS
2057 S. Avon-belden Rd,
Grafton, OH 44044
(440) 748-1049
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKimbrley D Clark
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2057 S. Avon-belden Rd, Grafton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770995961
  • Provider Enumeration Date: 05/22/2014
  • Last Update Date: 05/22/2014

Medical Identifiers

Medical identifiers for Kimbrley D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770995961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 121985 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimbrley D Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimbrley D Clark, LICDC-CS
41821 Whitney Rd,
Lagrange, OH 44050-9458

Ph: () -
Kimbrley D Clark, LICDC-CS
2057 S. Avon-belden Rd,
Grafton, OH 44044

Ph: (440) 748-1049

Reviews and Comments


Counselor in Grafton, OH

Kyle Metzger,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11600 Durkee Rd, Grafton, OH 44044
Phone: 216-361-7760    Fax: 216-361-3600
Mr. Jeffrey J Jerabek, LICDC-CS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Avon Belden Rd, Grafton, OH 44044
Phone: 440-748-5747    
Marlene Ann Bielek,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 35895 Royalton Rd, Grafton, OH 44044
Phone: 440-529-9419    
Jennifer Whitten, LPCC-SUPV
Counselor
Medicare: Medicare Enrolled
Practice Location: 2500 Avon Belden Rd, Grafton, OH 44044
Phone: 440-748-5474    
Donald Christian,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2075 Avon Belden Rd, Grafton, OH 44044
Phone: 440-748-1049    
Megan L Carter, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 35895 Royalton Rd, Grafton, OH 44044
Phone: 440-529-9419    

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