Individual provider · Type 1 NPI
Julia Paige Pengra Clarke, LMFT #42994
Mental Health Counselor · Montrose, CA
NPI number
1255119673
Active
Practice location
2550 Honolulu Ave Ste 203
Montrose, CA 91020-1860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 42994 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1255119673
Julia Paige Pengra Clarke, LMFT #42994's National Provider Identifier is 1255119673, issued on Sep 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Montrose, CA. The record was last updated on Sep 18, 2023.