person
Elizabeth Clark
Addiction (Substance Use Disorder) Counselor in San Bernardino, California
NPI 1508061615

Elizabeth Clark is an Addiction (Substance Use Disorder) Counselor based in Norco, CA and is specialized in Addiction (Substance Use Disorder). Elizabeth Clark practices in San Bernardino, CA. The NPI Number for Elizabeth Clark is 1508061615 and holds a License No. 01-047276 (California).

The current practice location address for Elizabeth Clark is 780 E Gilbert St, San Bernardino, CA and can be reached out via phone at 909-387-7458.

Location: 780 E Gilbert St, San Bernardino, CA, 92860-1347
person
Provider Profile Details
NPI Number
1508061615
Provider Name
Elizabeth Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
780 E Gilbert St, San Bernardino, CA, 92860-1347
Phone Number
909-387-7458
Fax Number
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3145 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
780 E Gilbert St
City
State
Zip
92415-1003
Phone Number
909-387-7458
Fax Number
person
Provider Business Mailing Address Details
Address
780 E Gilbert St
City
State
Zip
92415-1003
Phone Number
909-387-7458
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01-047276 (California)
Definition
Definition to come...
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