person
Kandis Clark
Mental Health Counselor in Camarillo, California
NPI 1538414149

Kandis Clark is a Mental Health Counselor based in Ventura, CA and is specialized in Mental Health. Kandis Clark practices in Camarillo, CA. The NPI Number for Kandis Clark is 1538414149 and holds a License No. (California).

The current practice location address for Kandis Clark is 1756 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-642-7033 and via fax at 805-642-7201.

Location: 1756 S Lewis Rd, Camarillo, CA, 93003-1646
person
Provider Profile Details
NPI Number
1538414149
Provider Name
Kandis Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1756 S Lewis Rd, Camarillo, CA, 93003-1646
Phone Number
805-642-7033
Fax Number
805-642-7201
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174400000X 01 CA SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-642-7033
Fax Number
805-642-7201
person
Provider Business Mailing Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-642-7033
Fax Number
805-642-7201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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