Individual provider · Type 1 NPI

Latrisha Clark

Mental Health Counselor · Davis, CA

NPI number 1841595055 Active

Practice location

212 I St
Davis, CA 95616-4213

Call (530) 601-5959 Map

Fax (916) 287-4679

Mailing address

8912 Volunteer Ln
Sacramento, CA 95826-3221

Other practice locations

  • 6833 Stockton Blvd, #485, Sacramento, CA 95823-2372 · (916) 394-0800

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1841595055

Latrisha Clark's National Provider Identifier is 1841595055, issued on Jan 19, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davis, CA. The record was last updated on Jan 6, 2022.