Individual provider · Type 1 NPI

Elizabeth Clark

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1508061615 Active

Practice location

780 E Gilbert St, Suite 23 & 24
San Bernardino, CA 92415-1003

Call (909) 387-7458 Map

Mailing address

4369 Sierra Ave
Norco, CA 92860-1347

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01-047276 (CA)

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

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About NPI 1508061615

Elizabeth Clark's National Provider Identifier is 1508061615, issued on Jun 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 16, 2014.