MRS. Nicole Lane Clark, LCSW
NPI #1467893032 in Shingletown, California
Provider Information
- NPI Number
- 1467893032
- Entity Type
- Individual
- Name
- MRS. Nicole Lane Clark, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Jul 11, 2013
- Last Updated
- May 21, 2021
Practice Location
- Address
- 31292 ALPINE MEADOWS RD
- City
- Shingletown
- State
- California
- ZIP Code
- 96088-9462
- Phone
- (530) 474-3390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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|---|---|
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