Individual provider · Type 1 NPI
Walter Otha Clark Iii, CATC II
Addiction (Substance Use Disorder) Counselor · Riverside, CA
NPI number
1811230980
Active
Practice location
3525 Presley Ave
Riverside, CA 92507-4453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 3051-I (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 133051 II (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
56 other providers at this address
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- Teddi Lynn McElvain, R1464950422Addiction (Substance Use Disorder) Counselor Riverside, CA NPI 1013640861
- Stephen TrottmanAddiction (Substance Use Disorder) Counselor Riverside, CA NPI 1013739184
- Armando PadronAddiction (Substance Use Disorder) Counselor Riverside, CA NPI 1013775485
- Monica FloresAddiction (Substance Use Disorder) Counselor Riverside, CA NPI 1013776020
About NPI 1811230980
Walter Otha Clark Iii, CATC II's National Provider Identifier is 1811230980, issued on Mar 27, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Aug 22, 2013.