Individual provider · Type 1 NPI

Tiffany Clark

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1336802271 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Call (818) 582-8832 Map

Fax (818) 582-8836

Mailing address

8140 Sunland Blvd
Sun Valley, CA 91352-3948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB00003500724 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336802271

Tiffany Clark's National Provider Identifier is 1336802271, issued on Oct 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Jul 31, 2024.