Individual provider · Type 1 NPI
Abraham Lewis Clark
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1720401367
Active
Practice location
1901 Cleveland Avenue, #B, Santa Rosa Treatment Program
Santa Rosa, CA 95401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RIC1401231658 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Teri Musser, SUDRC 12678Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003577677
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About NPI 1720401367
Abraham Lewis Clark's National Provider Identifier is 1720401367, issued on Feb 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 3, 2014.