Ron Wayne Clark is a Counselor based in Santa Cruz, CA. Ron Wayne Clark practices in Santa Cruz, CA. The NPI Number for Ron Wayne Clark is 1801010012 and holds a License No. (California).
The current practice location address for Ron Wayne Clark is 2422 Oriole Ln, Santa Cruz, CA and can be reached out via phone at 831-818-8894.
Location: 2422 Oriole Ln, Santa Cruz, CA, 95062-4262
Provider Profile Details
NPI Number
1801010012
Provider Name
Ron Wayne Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2422 Oriole Ln, Santa Cruz, CA, 95062-4262
Phone Number
831-818-8894
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2422 Oriole Ln
City
State
Zip
95062-4262
Phone Number
831-818-8894
Fax Number
Provider Business Mailing Address Details
Address
2422 Oriole Ln
City
State
Zip
95062-4262
Phone Number
831-818-8894
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(California)
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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