person
Mr. Edward Derby Clark I
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1093028870

Edward Derby Clark I is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Edward Derby Clark I practices in Sacramento, CA. The NPI Number for Edward Derby Clark I is 1093028870 and holds a License No. (California).

The current practice location address for Edward Derby Clark I is 1355 Pebblewood Dr, Sacramento, CA and can be reached out via phone at 916-289-9380 and via fax at 916-441-1758.

Location: 1355 Pebblewood Dr, Sacramento, CA, 95833-1612
person
Provider Profile Details
NPI Number
1093028870
Provider Name
Edward Derby Clark I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1355 Pebblewood Dr, Sacramento, CA, 95833-1612
Phone Number
916-289-9380
Fax Number
916-441-1758
Provider Enumeration Date
07/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1355 Pebblewood Dr
City
State
Zip
95833-1612
Phone Number
916-289-9380
Fax Number
916-441-1758
person
Provider Business Mailing Address Details
Address
1355 Pebblewood Dr
City
State
Zip
95833-1612
Phone Number
916-289-9380
Fax Number
916-441-1758
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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