Individual provider · Type 1 NPI

Charae J. Clark

Counselor · Los Angeles, CA

NPI number 1972803435 Active

Practice location

3761 Stocker St Ste 105
Los Angeles, CA 90008-5129

Call (323) 294-4261 Map

Fax (323) 294-7261

Mailing address

7833 West Blvd
Inglewood, CA 90305-1228

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972803435

Charae J. Clark's National Provider Identifier is 1972803435, issued on Oct 29, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 29, 2010.