MR. Ollie Bruce Clark, L.M.F.T.
NPI #1619201159 in Beaumont, California
Provider Information
- NPI Number
- 1619201159
- Entity Type
- Individual
- Name
- MR. Ollie Bruce Clark, L.M.F.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- L.M.F.T.
- Enumeration Date
- Oct 1, 2009
- Last Updated
- Oct 1, 2009
Practice Location
- Address
- 136 E 6TH ST
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-2146
- Phone
- (951) 845-3588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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