| Doctor Name: | MRS. DARCIE RUPERT CLARK |
| NPI Number: | 1003149808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPCC, LCDCIII |
| License Number: | 991819 |
| Business Practice Address: | 537 Windsor Park Dr Centerville, OH - 45459 |
| Business Phone Number: | 9376711589 |
| Business Fax Number: | 9374355865 |
| Mailing Address: | 537 Windsor Park Dr, CENTERVILLE |
| State: | OH |
| Postal Code: | 45459 |
| Phone Number: | 9376711589 |
| Fax Number: | 9374355865 |
| NPI Enumeration Date: | 09/10/2009 |
| NPI Last Update Date: | 03/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 991819 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |