Andrea Marie Clark in Antioch - Mental Health
Andrea Marie Clark - NPI 1467639690
Andrea Marie Clark is a Mental Health in Antioch, California. Andrea Marie Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Andrea Marie Clark is 1467639690. The last update date is 2009-03-17.
Andrea Marie Clark's current location address is 1401 W 4th St, Antioch, California. You can contact this provider via phone number 9257783750 and fax number 9257783750. The mailing address for Andrea Marie Clark is 1401 W 4th St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Marie Clark |
|---|---|
| Address | 1401 W 4th St, Antioch, California |
| Phone Number | 9257783750 |
| Fax Number | 9257783750 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467639690 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2009-03-17 |
Provider Mailing Address Detail
| Address | 1401 W 4th St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945091024 |
| Phone Number | 9257783750 |
| Fax Number | 9257783750 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identification code assigned to Andrea Marie Clark by the Centers for Medicare & Medicaid Services?
The Andrea Marie Clark has been issued the NPI (National Provider Identifier) 1467639690. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Andrea Marie Clark's facilities are situated?
The facilities of Andrea Marie Clark are physically located at the following address: 1401 W 4Th St, Antioch, CA, 945091024.
What is Andrea Marie Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Marie Clark's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467639690 to Andrea Marie Clark?
The Andrea Marie Clark received its 1467639690 assignment from the Centers for Medicare & Medicaid Services on 2008-01-30.
When was the information regarding Andrea Marie Clark most recently updated?
The details pertaining to the Andrea Marie Clark, including its address, specialty, and other relevant information, were last refreshed on 2009-03-17.
NPI Number: 1720081763
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