Tom Allen Clark
Tom Allen Clark is an Addiction (Substance Use Disorder) Counselor in Lotus, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
838 Beach CtLotus, CA 95633-9563
Phone: (530) 626-7252
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2844 Coloma St, Placerville, CA 95667-4406 — (530) 626-7252
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1356560719 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1033674718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 6, 2019 |
| Last updated in NPPES | October 2, 2020 |
| Certification date | October 1, 2020 |
Other providers in Lotus
-
Derrick Hans Bonderud, RADT
838 Beach Ct, Lotus, CA 95651 · (530) 626-7383
-
Kristina Donsbach
838 Beach Ct, Lotus, CA 95651 · (530) 626-7252
-
Brangwyn Ursula Foley
838 Beach Ct, Lotus, CA 95651 · (530) 626-7252
-
Daniel Lawrence Gilliland, SUDCC
838 Beach Ct, Lotus, CA 95633 · (530) 626-7252
-
Anthony James Gonzalez, RADT1
838 Beach Ct, Lotus, CA 95651 · (530) 626-7383