Individual provider · Type 1 NPI

Gloria Dehaven Clark, CADCA

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1992925960 Active

Practice location

3125 E 7th St
Long Beach, CA 90804-4932

Call (562) 987-5742 Map

Fax (562) 987-2488

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992925960

Gloria Dehaven Clark, CADCA's National Provider Identifier is 1992925960, issued on May 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jul 9, 2007.