Individual provider · Type 1 NPI
Lisa Clark
Addiction (Substance Use Disorder) Counselor · Pomona, CA
NPI number
1780191445
Active
Practice location
845 E Arrow Hwy
Pomona, CA 91767-2535
Fax (909) 624-1375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780191445
Lisa Clark's National Provider Identifier is 1780191445, issued on Jan 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Jan 3, 2018.