| Clean & Clear Advantage, Llc | |
|
425 Juliana St Parkersburg WV 26101-5352 | |
| (917) 863-4133 | |
| Not Available |
| Full Name | Clean & Clear Advantage, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 425 Juliana St, Parkersburg, West Virginia |
| Authorized Official Name and Position | Ryan Ripa (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9178634133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean & Clear Advantage, Llc 425 Juliana St Parkersburg WV 26101-5352 Ph: (917) 863-4133 | Clean & Clear Advantage, Llc 425 Juliana St Parkersburg WV 26101-5352 Ph: (917) 863-4133 |
| NPI Number | 1790390839 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790390839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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