JAMES RUSSELL CLARK

SACRAMENTO, CA
NPI1881903029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-10-06
Last Update Date2010-10-06
Business Address
-- JAMES RUSSELL CLARK CADCA
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
-- JAMES RUSSELL CLARK CADCA
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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