Individual provider · Type 1 NPI
Keith Lyle Clark, MA
Mental Health Counselor · San Francisco, CA
NPI number
1376811018
Active
Practice location
1500 Franklin St
San Francisco, CA 94109-4523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1376811018
Keith Lyle Clark, MA's National Provider Identifier is 1376811018, issued on Dec 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Mar 19, 2014.