| Timothy Clark, | |
| 
					4215 9th Ave S, Fargo, ND 58103-2018  | |
| (701) 478-9554 | |
| Not Available | 
| Full Name | Timothy Clark | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 4215 9th Ave S, Fargo, North Dakota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831576271 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1744 (North Dakota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Clark, 4215 9th Ave S, Fargo, ND 58103-2018 Ph: (701) 478-9554  | Timothy Clark, 4215 9th Ave S, Fargo, ND 58103-2018 Ph: (701) 478-9554  | 
Rachel A Blumhardt,  Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Sarah Klimek,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477  | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383  | |
Mary Beth Stensgard,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539  | |
Deton Hart,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400  | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649  |