Organization
NEVADA COUNTY HUMAN SERVICES AGENCY
Active
Other names
Children's Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L CLARK MFT #18395 (THERAPIST)
(530) 798-8215
Entity
Organization
Contact information
Practice address
11148 BUTLER RD, GRASS VALLEY, CA 95945-6915
(530) 798-8215
(530) 271-5943
Mailing address
11148 BUTLER RD, GRASS VALLEY, GRASS VALLEY, CA 95945-6915
(530) 798-8215
(530) 271-5943
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC 18395
CA
Other
Enumeration date
05/22/2007
Last updated
08/13/2008
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