MRS. Nicole Lane Clark, LCSW is a mental health counselor in Shingletown, CA. MRS. Nicole Lane Clark, LCSW NPI is 1467893032. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
31292 ALPINE MEADOWS RD
SHINGLETOWN, CA
ZIP 96088-462
Phone: (530) 474-3390
Fax: (530) 474-1407
The enumeration date for this NPI number is 7/11/2013 and was last updated on 5/21/2021.