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Madisyn Synclaire Clark
Counselor in Los Angeles, California
NPI 1023746955

Madisyn Synclaire Clark is a Counselor based in Los Angeles, CA. Madisyn Synclaire Clark practices in Los Angeles, CA. The NPI Number for Madisyn Synclaire Clark is 1023746955 and holds a License No. (California).

The current practice location address for Madisyn Synclaire Clark is 5811 S San Pedro St, Los Angeles, CA and can be reached out via phone at 323-234-4445 and via fax at 323-234-4477.

Location: 5811 S San Pedro St, Los Angeles, CA, 90011-5323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023746955
Provider Name
Madisyn Synclaire Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
5811 S San Pedro St, Los Angeles, CA, 90011-5323
Phone Number
323-234-4445
Fax Number
323-234-4477
Provider Enumeration Date
08/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5811 S San Pedro St
City
Los Angeles
State
California
Zip
90011-5323
Phone Number
323-234-4445
Fax Number
323-234-4477
person
Provider Business Mailing Address Details
Address
5811 S San Pedro St
City
Los Angeles
State
California
Zip
90011-5323
Phone Number
323-234-4445
Fax Number
323-234-4477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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