Individual provider · Type 1 NPI

Khristian Clark

Rehabilitation Practitioner · Escondido, CA

NPI number 1851055792 Active

Practice location

25143 Jack Rabbit Acres
Escondido, CA 92026-1267

Mailing address

1738 S Tremont St
Oceanside, CA 92054-5309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Behavior Technician 106S00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1851055792

Khristian Clark's National Provider Identifier is 1851055792, issued on Oct 27, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Escondido, CA. The record was last updated on Feb 14, 2024.