Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra Louise Clark, NCACII, LADC, CCJP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306015284

Sandra Louise Clark, NCACII, LADC, CCJP is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1885 University Ave W Ste 20
Saint Paul, MN 55104-3489
Phone: (651) 373-0152
Fax: (763) 767-3145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 301712 (MN)

Record details

NPI number1306015284
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCACII , LADC , CCJP
Sole proprietorYes
NPI enumeratedFebruary 26, 2008
Last updated in NPPESFebruary 26, 2008

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