Individual provider · Type 1 NPI

Theresa Clark

Marriage & Family Therapist · Sebastopol, CA

NPI number 1457688384 Active

Practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Call (707) 634-9034 Map

Fax (707) 823-3410

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X47533 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1457688384

Theresa Clark's National Provider Identifier is 1457688384, issued on Nov 13, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on Jul 8, 2016.