National Provider Identifier
Ava Clark
Ava Clark is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Peekskill, NY and a listed phone number of (914) 734-8740.
Source: public NPPES record, last updated January 16, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1417546110
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 16, 2021
- Last Updated
- January 16, 2021
Practice Location
- 1037 Main St
- Peekskill, NY 10566-2913
Phone: (914) 734-8740
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Ava Clark is a Peekskill-based addiction counselor associated with Sun River Health’s Jeannette J. Phillips Community Health Center, a long-standing community health site that Sun River identifies as its first health center and home to Behavioral Health/Pathways services.
Full Record
- NPI
- 1417546110
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Ava
- Mailing Street Address
- 1037 Main St
- Mailing City
- Peekskill
- Mailing State
- NY
- Mailing ZIP Code
- 10566-2913
- Mailing Country
- US
- Mailing Phone
- (914) 734-8740
- Practice Street Address
- 1037 Main St
- Practice City
- Peekskill
- Practice State
- NY
- Practice ZIP Code
- 10566-2913
- Practice Country
- US
- Practice Phone
- (914) 734-8740
- Enumeration Date
- January 16, 2021
- Last Updated
- January 16, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 16, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 13-2828349 (NY)