Individual provider · Type 1 NPI

Keisha Clark

Counselor · Chula Vista, CA

NPI number 1174841373 Active

Practice location

1124 Bay Blvd, Suite D
Chula Vista, CA 91911-7155

Call (619) 420-3620 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174841373

Keisha Clark's National Provider Identifier is 1174841373, issued on May 12, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chula Vista, CA. The record was last updated on May 12, 2010.