Individual provider · Type 1 NPI
Stephen Clark
Mental Health Counselor · Los Angeles, CA
NPI number
1801136080
Active
Practice location
2020 Taft Ave
Los Angeles, CA 90068-3623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1801136080
Stephen Clark's National Provider Identifier is 1801136080, issued on Feb 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 25, 2013.