Individual provider · Type 1 NPI

Mary Katherine Clark

Addiction (Substance Use Disorder) Counselor · Orland, CA

NPI number 1740689397 Active

Practice location

1187 E South St
Orland, CA 95963-9136

Call (530) 865-1146 Map

Fax (530) 865-6483

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC0710221142 (CA)

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

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About NPI 1740689397

Mary Katherine Clark's National Provider Identifier is 1740689397, issued on Aug 20, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orland, CA. The record was last updated on Aug 20, 2014.