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Sandra Clark, NCACII, LADC, CCJP

NPI 1306015284 · on the registry since 2008 · sole proprietor

Practice

Address: 1885 University Ave W
Suite 20
Saint Paul, MN 55104
Phone: (651) 373-0152
Fax: (763) 767-3145
Organisation at this address: Joseph Y Lee
Avalon Programs, Llc
Ea Bilingual Services, Inc.
Sunshine Home Health Care Inc.
Evening Chiropractic Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota