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MISS CRYSTAL MARIE CLARK
NPI 1194269209
Counselor - Addiction (Substance Use Disorder) in South Amboy, NJ

Active since December 08, 2016
1 MAIN ST, SOUTH AMBOY, NJ 08879(732) 727-2555 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Crystal Marie Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS CRYSTAL MARIE CLARK (NPI 1194269209) is an individual addiction (substance use disorder) provider in South Amboy, New Jersey and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1194269209
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS CRYSTAL MARIE CLARK
Location Address1 MAIN STSouth Amboy, NJ 08879-1142
Mailing Address1 Main StSouth Amboy, NJ 08879-1142 · (732) 727-2555
Phone(732) 727-2555
Sole ProprietorNo
Enumeration DateDecember 8, 2016
✔ NPI 1194269209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1 MAIN ST, South Amboy, NJ 08879
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSANNE CONNOLLY SOCIAL WORKER
Social Worker (Clinical)
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
MS. LISA CECELIA GIACOMIAZZIO MSW
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
MARGARET M WAGNER
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
MRS. HIMILCE REYNOSO
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
CHIARA BARONE
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
JENE CLARKE LPN
Licensed Practical Nurse
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (173) 295-2150
SHERONA MULLINGS CADC
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555
NATALIE E MENENDEZ
Counselor (Addiction (Substance Use Disorder))
1 MAIN ST
SOUTH AMBOY, NJ 08879
Middlesex County (732) 727-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1194269209. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Crystal Clark located?

Crystal Clark practices at 1 Main St, South Amboy, NJ 08879. The listed phone number is (732) 727-2555.

What is Crystal Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Clark was last updated on December 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.