Avery J Clark
NPI #1023626884 in Chatsworth, California
Provider Information
- NPI Number
- 1023626884
- Entity Type
- Individual
- Name
- Avery J Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 17, 2020
- Last Updated
- Jul 17, 2020
Practice Location
- Address
- 9201 OAKDALE AVE
- City
- Chatsworth
- State
- California
- ZIP Code
- 91311-6542
- Phone
- (883) 227-3454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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