person
Mrs. Kimberly Irene Clark, MFT
Mental Health Counselor in Costa Mesa, California
NPI 1609050913

Kimberly Irene Clark is a Mental Health Counselor based in Costa Mesa, CA and is specialized in Mental Health. Kimberly Irene Clark practices in Costa Mesa, CA and has the professional credentials of MFT. The NPI Number for Kimberly Irene Clark is 1609050913 and holds a License No. 40815 (California).

The current practice location address for Kimberly Irene Clark is 3077 Coolidge Ave, Costa Mesa, CA and can be reached out via phone at 714-614-7382 and via fax at 714-444-0722.

Location: 3077 Coolidge Ave, Costa Mesa, CA, 92626-2809
person
Provider Profile Details
NPI Number
1609050913
Provider Name
Kimberly Irene Clark
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
3077 Coolidge Ave, Costa Mesa, CA, 92626-2809
Phone Number
714-614-7382
Fax Number
714-444-0722
Provider Enumeration Date
12/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3077 Coolidge Ave
City
State
Zip
92626-2809
Phone Number
714-614-7382
Fax Number
714-444-0722
person
Provider Business Mailing Address Details
Address
3077 Coolidge Ave
City
State
Zip
92626-2809
Phone Number
714-614-7382
Fax Number
714-444-0722
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
40815 (California)
Definition
Definition to come...
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