Phillip A Clark is a Counselor based in Oakland, CA. Phillip A Clark practices in Oakland, CA. The NPI Number for Phillip A Clark is 1568950764 and holds a License No. (California).
The current practice location address for Phillip A Clark is 925 Brockhurst St, Oakland, CA and can be reached out via phone at 510-923-9600.
Location: 925 Brockhurst St, Oakland, CA, 94608-4222
Provider Profile Details
NPI Number
1568950764
Provider Name
Phillip A Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
925 Brockhurst St, Oakland, CA, 94608-4222
Phone Number
510-923-9600
Fax Number
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962601666 | 05 | CA |
Provider Business Practice Location Address Details
Address
925 Brockhurst St
City
State
Zip
94608-4222
Phone Number
510-923-9600
Fax Number
Provider Business Mailing Address Details
Address
925 Brockhurst St
City
State
Zip
94608-4222
Phone Number
510-923-9600
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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