Individual provider · Type 1 NPI

Kimberly Irene Clark, MFT

Mental Health Counselor · Costa Mesa, CA

NPI number 1609050913 Active

Practice location

3077 Coolidge Ave
Costa Mesa, CA 92626-2809

Call (714) 614-7382 Map

Fax (714) 444-0722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X40815 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1609050913

Kimberly Irene Clark, MFT's National Provider Identifier is 1609050913, issued on Dec 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 21, 2007.