Individual provider · Type 1 NPI

Marques Demont Clark

Mental Health Counselor · Fremont, CA

NPI number 1811174477 Active

Practice location

37720 Fremont Blvd
Fremont, CA 94536-5025

Call (510) 797-2072 Map

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811174477

Marques Demont Clark's National Provider Identifier is 1811174477, issued on Jan 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on Jan 25, 2008.