Organization · Type 2 NPI
Michael Clark Marriage and Family Therapy, Inc
Adult Mental Health Clinic/Center · Berkeley, CA
NPI number
1144035635
Active
Practice location
1918 Bonita Ave Ste 208
Berkeley, CA 94704-1014
Mailing address
70 Harlan St Apt 101
San Leandro, CA 94577-5850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1144035635
Michael Clark Marriage and Family Therapy, Inc's National Provider Identifier is 1144035635, issued on Feb 11, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Berkeley, CA. The record was last updated on Feb 11, 2025.