Individual provider · Type 1 NPI

Mitchell Clark

Rehabilitation Practitioner · San Francisco, CA

NPI number 1205307204 Active

Practice location

921 Lincoln Way
San Francisco, CA 94122-2210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1205307204

Mitchell Clark's National Provider Identifier is 1205307204, issued on Dec 17, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Francisco, CA. The record was last updated on May 14, 2025.