Individual provider · Type 1 NPI

Avery J. Clark

Mental Health Counselor · Chatsworth, CA

NPI number 1023626884 Active

Practice location

9201 Oakdale Ave
Chatsworth, CA 91311-6542

Call (883) 227-3454 Map

Mailing address

641 W 40th Pl Apt 109B
Los Angeles, CA 90037-2066

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XY6738149 (CA)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1023626884

Avery J. Clark's National Provider Identifier is 1023626884, issued on Jul 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chatsworth, CA. The record was last updated on Jul 17, 2020.