Mr. Edward Derby Clark I
Mr. Edward Derby Clark I is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
1355 Pebblewood DrSacramento, CA 95833-1612
Phone: (916) 289-9380
Fax: (916) 441-1758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1093028870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2010 |
| Last updated in NPPES | June 18, 2015 |
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