Individual provider · Type 1 NPI

James Robert Clark

Addiction (Substance Use Disorder) Counselor · Panorama City, CA

NPI number 1790505154 Active

Practice location

14500 Roscoe Blvd, Suite 400
Panorama City, CA 91402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Social Worker 104100000XNone listed

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

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About NPI 1790505154

James Robert Clark's National Provider Identifier is 1790505154, issued on Oct 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Panorama City, CA. The record was last updated on Feb 2, 2026.