Jerry Dean Clark, SUDR, CPC, AAC is an addiction (substance use disorder) counselor in Centralia, WA. Jerry Dean Clark, SUDR, CPC, AAC NPI is 1497232060. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1616 S GOLD ST STE 4
CENTRALIA, WA
ZIP 98531-930
Phone: (360) 807-4929
The enumeration date for this NPI number is 7/25/2018 and was last updated on 11/13/2020.