Individual
ASHLEY N. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3225
Mailing address
809 BIDWELL ST APT 311, FOLSOM, CA 95630-3063
(916) 598-2501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
STUDENT
CA
Enumeration date
01/15/2020
Last updated
11/10/2020
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