Individual provider · Type 1 NPI

Henry R. Clark

Peer Specialist · Indio, CA

NPI number 1700771235 Active

Practice location

44199 Monroe St Ste A
Indio, CA 92201-3096

Call (760) 347-0754 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1700771235

Henry R. Clark's National Provider Identifier is 1700771235, issued on Jun 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Indio, CA. The record was last updated on Jan 28, 2026.