Individual provider · Type 1 NPI

Andrea Marie Clark

Mental Health Counselor · Antioch, CA

NPI number 1467639690 Active

Practice location

1401 W 4th St
Antioch, CA 94509-1024

Call (925) 778-3750 Map

Fax (925) 778-3750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467639690

Andrea Marie Clark's National Provider Identifier is 1467639690, issued on Jan 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Antioch, CA. The record was last updated on Mar 17, 2009.