DALLAS LASHAWN CLARK
NPI 1861043077
Counselor - Addiction (Substance Use Disorder) in Springfield, MA
Active since September 28, 2019
About Dallas Lashawn Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS LASHAWN CLARK (NPI 1861043077) is an individual addiction (substance use disorder) provider in Springfield, Massachusetts and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1861043077
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDALLAS LASHAWN CLARK
Location Address20 WILBRAHAM AVESpringfield, MA 01109-3337
Mailing Address995 Worthington StSpringfield, MA 01109-4027 · (413) 747-5384
Phone(413) 747-5384
Fax(413) 382-7170
Sole ProprietorNo
Enumeration DateSeptember 28, 2019
✔ NPI 1861043077 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
20 WILBRAHAM AVE, Springfield, MA 01109
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Student in an Organized Health Care Education/Training Program
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Counselor (Addiction (Substance Use Disorder))
20 WILBRAHAM AVE
SPRINGFIELD, MA 01109
SPRINGFIELD, MA 01109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861043077, enumerated as an "individual" on September 28, 2019.
The provider is located at 20 WILBRAHAM AVE SPRINGFIELD, MA 01109 and the phone number is (413) 747-5384.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).