| Mark Clark, SUDC | |
|
1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | |
| (406) 293-7731 | |
| (406) 297-2823 |
| Full Name | Mark Clark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1366 W Indian Hills Dr Unit 69, Saint George, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720119167 | NPI | - | NPPES |
| 760460 | Other | MT | CHIP |
| 0000073691 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0320372 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Clark, SUDC 711 California Ave, Libby, MT 59923-1903 Ph: (406) 293-7731 | Mark Clark, SUDC 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 Ph: (406) 293-7731 |
Christine Erickson, MA, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 E Tabernacle St, Suite 201, Saint George, UT 84770 Phone: 435-688-1111 | |
Rachel Tegtmeyer, Counselor Medicare: Medicare Enrolled Practice Location: 33 S Acantilado Dr, Saint George, UT 84790 Phone: 515-320-5982 | |
Austin Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, Saint George, UT 84770 Phone: 801-255-5131 | |
Dr. Knar Sanossian-gavin, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1282 Palmer Cir, Saint George, UT 84790 Phone: 435-216-2140 | |
Michael Petersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, Saint George, UT 84770 Phone: 801-255-5131 Fax: 801-255-5131 | |
Amanda Spigarelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N # 300, Saint George, UT 84770 Phone: 435-634-5600 Fax: 435-986-8700 | |
Dara Larsen, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 S River Rd Ste 204, Saint George, UT 84790 Phone: 435-429-1457 |