Individual provider · Type 1 NPI

Phillip A. Clark

Counselor · Oakland, CA

NPI number 1568950764 Active

Practice location

925 Brockhurst St
Oakland, CA 94608-4222

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1568950764

Phillip A. Clark's National Provider Identifier is 1568950764, issued on Apr 24, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Apr 24, 2018.