Individual provider · Type 1 NPI

Demarcus Clark

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1497918122 Active

Practice location

5311 S Western Ave
Los Angeles, CA 90062-2703

Call (323) 299-2111 Map

Specialties and licenses

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

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

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About NPI 1497918122

Demarcus Clark's National Provider Identifier is 1497918122, issued on Jul 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 2, 2008.