Abraham Lewis Clark
Abraham Lewis Clark is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1901 Cleveland Ave #B Santa Rosa Treatment ProgramSanta Rosa, CA 95401
Phone: (707) 576-0818
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence RIC1401231658 (CA) |
|---|
Record details
| NPI number | 1720401367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 3, 2014 |
| Last updated in NPPES | February 3, 2014 |
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