MR. Edward Dean Lark

NPI #1528150802 in Long Beach, California

Provider Information

NPI Number
1528150802
Entity Type
Individual
Name
MR. Edward Dean Lark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician
Enumeration Date
Sep 28, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
5901 E 7TH ST
Address 2
MENTAL HEALTH SUBSTANCE ABUSE #006-116A
ZIP Code
90822-5201
Phone
(562) 826-5610

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Technician

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