Individual provider · Type 1 NPI

Ollie Bruce Clark, L.M.F.T.

Marriage & Family Therapist · Beaumont, CA

NPI number 1619201159 Active

Practice location

136 E 6th St
Beaumont, CA 92223-2146

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC 18786 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1619201159

Ollie Bruce Clark, L.M.F.T.'s National Provider Identifier is 1619201159, issued on Oct 1, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Beaumont, CA. The record was last updated on Oct 1, 2009.