Search › California › 104100000X
Kacee Clark
NPI 1912286899 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3321 Power Inn Rd
Suite 110
Sacramento, CA 95826 - Phone
- (916) 291-7219
- Organisation at this address
- Crossroads Diversified Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-01
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 California