TERRY CLARKE

AUSTIN, TX
NPI1740938844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  15547)
Enumeration Date2022-03-17
Last Update Date2022-03-17
Business Address
TERRY CLARKE LCDC
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745-3188
Phone number: 512-899-2100
Mailing Address
TERRY CLARKE LCDC
3300 PARKER LN APT 266
AUSTIN, TX 78741-6972
Phone number: 325-763-8994
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