ABRAHAM LEWIS CLARK

SANTA ROSA, CA
NPI1720401367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RIC1401231658)
Enumeration Date2014-02-03
Last Update Date2014-02-03
Business Address
-- ABRAHAM LEWIS CLARK
1901 CLEVELAND AVENUE, #B SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401
Phone number: 707-576-0818
Mailing Address
-- ABRAHAM LEWIS CLARK
1901 CLEVELAND AVENUE, #B SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401
Phone number: 707-576-0818
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