SANDRA LOUISE CLARK NCACII, LADC, CCJP
NPI 1306015284
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since February 26, 2008
1885 UNIVERSITY AVE W, SUITE 20, SAINT PAUL, MN 55104(651) 373-0152(763) 767-3145 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Louise Clark Ncacii, Ladc, Ccjp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA LOUISE CLARK NCACII, LADC, CCJP (NPI 1306015284) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (301712) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1306015284
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSANDRA LOUISE CLARKCredential: NCACII, LADC, CCJP
Location Address1885 UNIVERSITY AVE W, SUITE 20Saint Paul, MN 55104-3489
Mailing Address1885 University Ave W, Suite 20Saint Paul, MN 55104-3489 · (651) 373-0152 · Fax (763) 767-3145
Fax(763) 767-3145
Sole ProprietorYes
Enumeration DateFebruary 26, 2008
NPI 1306015284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 301712
1885 UNIVERSITY AVE W, Saint Paul, MN 55104

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1885 UNIVERSITY AVE W, SUITE 325
ST PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1885 UNIVERSITY AVE W, SUITE 246
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1885 UNIVERSITY AVE W, SUITE 246
SAINT PAUL, MN 55104
Community/Behavioral Health
1885 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Case Management
1885 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Occupational Therapist
1885 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1885 UNIVERSITY AVE W, SUITE 246
SAINT PAUL, MN 55104
Chiropractor
1885 UNIVERSITY AVE W, 140
SAINT PAUL, MN 55104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Clark's NPI number?

The NPI number for Sandra Clark is 1306015284. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Where is Sandra Clark located?

Sandra Clark practices at 1885 University Ave W Suite 20, Saint Paul, MN 55104. The listed phone number is (651) 373-0152.

What is Sandra Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sandra Clark was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.