Individual provider · Type 1 NPI

Nikki Clark

Mental Health Counselor · San Diego, CA

NPI number 1750633046 Active

Practice location

2535 Kettner Blvd, 1A4
San Diego, CA 92101-1250

Call (619) 615-0701 Map

Mailing address

4667 60th St
San Diego, CA 92115-3825

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1750633046

Nikki Clark's National Provider Identifier is 1750633046, issued on Oct 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 10, 2012.