Individual provider · Type 1 NPI

Nicole Lane Clark, LCSW

Mental Health Counselor · Shingletown, CA

NPI number 1467893032 Active

Practice location

31292 Alpine Meadows Rd
Shingletown, CA 96088-9462

Call (530) 474-3390 Map

Fax (530) 474-1407

Mailing address

1005 Magnolia Ave
Redding, CA 96001-0314

Other practice locations

  • 43423 Division St, Lancaster, CA 93535-4639 · (661) 266-4783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X91794 (CA)

Mental Health Counselor: Definition to come...

10 other providers at this address

About NPI 1467893032

Nicole Lane Clark, LCSW's National Provider Identifier is 1467893032, issued on Jul 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shingletown, CA. The record was last updated on May 21, 2021.