Kevin Clark is an addiction (substance use disorder) counselor in Fairfax, VA. Kevin Clark NPI is 1245851104. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10615 JUDICIAL DR STE 403
FAIRFAX, VA
ZIP 22030-501
Phone: (703) 565-3783
Fax: (571) 285-4001
The enumeration date for this NPI number is 5/1/2020 and was last updated on 4/26/2021.