Individual provider · Type 1 NPI

Julie Alysia Clark, RADT

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1215402284 Active

Practice location

310 Harris Ave Ste A
Sacramento, CA 95838-3249

Call (916) 649-6793 Map

Fax (916) 929-7411

Mailing address

1001 Grand Ave
Sacramento, CA 95838-3512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1322980918 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215402284

Julie Alysia Clark, RADT's National Provider Identifier is 1215402284, issued on Oct 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 24, 2022.