Individual provider · Type 1 NPI
Miles Anthony Clark, MFT
Mental Health Counselor · Elk, CA
NPI number
1104399765
Active
Practice location
34175 Philo Greenwood Rd
Elk, CA 95432
Mailing address
PO Box 77
Elk, CA 95432-0077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMFT48989 (CA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Elk
About NPI 1104399765
Miles Anthony Clark, MFT's National Provider Identifier is 1104399765, issued on Jan 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elk, CA. The record was last updated on Jan 7, 2019.