IndividualActive
Abraham Clark
NPI 1720401367 · Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
Provider details
- NPI number
- 1720401367
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RIC1401231658 (CA)
Practice location
1901 Cleveland Avenue, #b
Santa Rosa Treatment Program
Santa Rosa, CA 95401
Phone: (707) 576-0818
Mailing address
1901 Cleveland Avenue, #b
Santa Rosa, CA 95401
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2014-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.