Keisha Clark is a Counselor based in Chula Vista, CA. Keisha Clark practices in Chula Vista, CA. The NPI Number for Keisha Clark is 1174841373 and holds a License No. (California).
The current practice location address for Keisha Clark is 1124 Bay Blvd, Chula Vista, CA and can be reached out via phone at 619-420-3620.
Location: 1124 Bay Blvd, Chula Vista, CA, 91911-7155
Provider Profile Details
NPI Number
1174841373
Provider Name
Keisha Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1124 Bay Blvd, Chula Vista, CA, 91911-7155
Phone Number
619-420-3620
Fax Number
Provider Enumeration Date
05/12/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1124 Bay Blvd
City
State
Zip
91911-7155
Phone Number
619-420-3620
Fax Number
Provider Business Mailing Address Details
Address
1124 Bay Blvd
City
State
Zip
91911-7155
Phone Number
619-420-3620
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
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