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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ABRAHAM LEWIS CLARK

Active

ABRAHAM LEWIS CLARK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SANTA ROSA, California. NPI 1720401367 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · SANTA ROSA, CA

Registration Details

NPI Number
1720401367
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2014 (12.507900041172 yrs)
Last Updated
Feb 3, 2014
License
RIC1401231658 (CA)

Practice Information

Address
1901 CLEVELAND AVENUE, #B
SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA, 95401
Browse CA providers · Browse ZIP 95401
Phone
7075760818

Other Addiction (Substance Use Disorder) Counselor Providers in SANTA ROSA, CA

Name Credential NPI
DEBORAH JAY POPE 1669528592
TOM JOHN NEWELL 1942356001
MICHAEL E. WALSH 1639210982
MITCH HOLCOMB 1225161961
DENISE CEINAR 1649303280
KAREN BERNARD-FLORES 1710010350
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.