Individual provider · Type 1 NPI

Stacy-Ann Clarke, BHS

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1477857951 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Call (209) 525-7411 Map

Fax (209) 541-2083

Mailing address

800 Scenic Dr
Modesto, CA 95350-6131

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse 164X00000X247445 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1477857951

Stacy-Ann Clarke, BHS's National Provider Identifier is 1477857951, issued on Dec 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Sep 5, 2023.