Individual provider · Type 1 NPI

Andre Moshea Clark, AMFT

Mental Health Counselor · Encino, CA

NPI number 1235854043 Active

Practice location

15720 Ventura Blvd
Encino, CA 91436-2914

Call (818) 927-0478 Map

Mailing address

8668 Shannonbrook Ct
Lemon Grove, CA 91945-2668

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X125985 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1235854043

Andre Moshea Clark, AMFT's National Provider Identifier is 1235854043, issued on Oct 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Encino, CA. The record was last updated on Oct 5, 2022.