ANNIE CLARK

OAKLAND, CA
NPI1902478662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
Ms. ANNIE CLARK
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
Mailing Address
Ms. ANNIE CLARK
2000 CAMANCHE RD SPC 71
IONE, CA 95640-9428
Phone number: