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Mrs. Diana Maria Clark
Mental Health Counselor in Tustin, California
NPI 1891986741

Diana Maria Clark is a Mental Health Counselor based in Tustin, CA and is specialized in Mental Health. Diana Maria Clark practices in Tustin, CA. The NPI Number for Diana Maria Clark is 1891986741 and holds a License No. 81829 (California).

The current practice location address for Diana Maria Clark is 18002 Irvine Blvd Ste 202F, Tustin, CA and can be reached out via phone at 657-205-6611.

Location: 18002 Irvine Blvd Ste 202F, Tustin, CA, 92780-3322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891986741
Provider Name
Diana Maria Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
18002 Irvine Blvd Ste 202F, Tustin, CA, 92780-3322
Phone Number
657-205-6611
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18002 Irvine Blvd Ste 202F
City
Tustin
State
California
Zip
92780-3322
Phone Number
657-205-6611
Fax Number
person
Provider Business Mailing Address Details
Address
18002 Irvine Blvd Ste 202F
City
Tustin
State
California
Zip
92780-3322
Phone Number
657-205-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
81829 (California)
Definition
Definition to come...
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