Individual provider · Type 1 NPI

Cameron Clark

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1053600767 Active

Practice location

1931 Center St
Berkeley, CA 94704-1105

Mailing address

1087 Stanford Ave Apt C
Oakland, CA 94608-2358

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XI8222069 (CA)

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

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About NPI 1053600767

Cameron Clark's National Provider Identifier is 1053600767, issued on Apr 4, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Apr 4, 2011.