Individual
CARRIE ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7300 WYNDHAM DR, SACRAMENTO, CA 95823-4913
(916) 525-6119
Mailing address
3111 COWAN CIR, SACRAMENTO, CA 95821-3824
(916) 202-1844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS18014
CA
Other
Enumeration date
07/07/2006
Last updated
02/11/2022
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