Individual provider · Type 1 NPI

Ronald Earl Clark

Mental Health Counselor · Mesa, AZ

NPI number 1003936824 Active

Practice location

3846 E Dartmouth St
Mesa, AZ 85205-6104

Call (480) 229-1722 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XUNLICENSED (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1003936824

Ronald Earl Clark's National Provider Identifier is 1003936824, issued on Mar 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.