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Lisa Marie Clark
Peer Specialist in Redwood City, California
NPI 1164132445

Lisa Marie Clark is a Peer Specialist based in Redwood City, CA. Lisa Marie Clark practices in Redwood City, CA. The NPI Number for Lisa Marie Clark is 1164132445 and holds a License No. (California).

The current practice location address for Lisa Marie Clark is 727 Shasta St, Redwood City, CA and can be reached out via phone at 650-599-1071.

Location: 727 Shasta St, Redwood City, CA, 94063-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164132445
Provider Name
Lisa Marie Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
727 Shasta St, Redwood City, CA, 94063-2124
Phone Number
650-599-1071
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
727 Shasta St
City
Redwood City
State
California
Zip
94063-2124
Phone Number
650-599-1071
Fax Number
person
Provider Business Mailing Address Details
Address
727 Shasta St
City
Redwood City
State
California
Zip
94063-2124
Phone Number
650-599-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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