Individual provider · Type 1 NPI

Terence Clark

Addiction (Substance Use Disorder) Counselor · Lancaster, CA

NPI number 1023775624 Active

Practice location

44443 10th St W
Lancaster, CA 93534-3346

Call (661) 726-2630 Map

Mailing address

5107 W Avenue J5
Lancaster, CA 93536-7459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023775624

Terence Clark's National Provider Identifier is 1023775624, issued on Nov 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Nov 18, 2021.