person
Matthew Miles Clark
Addiction (Substance Use Disorder) Counselor in Upland, California
NPI 1538930045

Matthew Miles Clark is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Matthew Miles Clark practices in Upland, CA. The NPI Number for Matthew Miles Clark is 1538930045 and holds a License No. R1503700423 (California).

The current practice location address for Matthew Miles Clark is 239 W 9Th St, Upland, CA and can be reached out via phone at 909-340-4276.

Location: 239 W 9Th St, Upland, CA, 92503-2125
person
Provider Profile Details
NPI Number
1538930045
Provider Name
Matthew Miles Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
239 W 9Th St, Upland, CA, 92503-2125
Phone Number
909-340-4276
Fax Number
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
239 W 9Th St
City
State
Zip
91786-5979
Phone Number
909-340-4276
Fax Number
person
Provider Business Mailing Address Details
Address
239 W 9Th St
City
State
Zip
91786-5979
Phone Number
909-340-4276
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1503700423 (California)
Definition
Definition to come...
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