Tom Allen Clark
NPI #1033674718 in Lotus, California
Provider Information
- NPI Number
- 1033674718
- Entity Type
- Individual
- Name
- Tom Allen Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 6, 2019
- Last Updated
- Oct 2, 2020
Practice Location
- Address
- 838 BEACH COURT
- City
- Lotus
- State
- California
- ZIP Code
- 95633-9563
- Phone
- (530) 626-7252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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