Individual provider · Type 1 NPI

Matt Clark

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1710876966 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (310) 204-5200 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1710876966

Matt Clark's National Provider Identifier is 1710876966, issued on Jul 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2025.