Individual provider · Type 1 NPI

Andrea Clark

Rehabilitation Practitioner · Santa Rosa, CA

NPI number 1942969290 Active

Practice location

341 Irwin Ln
Santa Rosa, CA 95401-5603

Call (707) 360-1500 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1942969290

Andrea Clark's National Provider Identifier is 1942969290, issued on Dec 14, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 11, 2025.