| NPI | 1174284889 |
|---|---|
| Professional Name | RONALD CLARKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000508) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |