person
Mr. Glen Antonio Clark III
Addiction (Substance Use Disorder) Counselor in San Francisco, California
NPI 1952585218

Glen Antonio Clark III is an Addiction (Substance Use Disorder) Counselor based in San Francisco, CA and is specialized in Addiction (Substance Use Disorder). Glen Antonio Clark III practices in San Francisco, CA. The NPI Number for Glen Antonio Clark III is 1952585218 and holds a License No. (California).

The current practice location address for Glen Antonio Clark III is 1301 Pierce St., San Francisco, CA and can be reached out via phone at 415-563-8200 and via fax at 510-644-2044.

Location: 1301 Pierce St., San Francisco, CA, 94117
person
Provider Profile Details
NPI Number
1952585218
Provider Name
Glen Antonio Clark III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1301 Pierce St., San Francisco, CA, 94117
Phone Number
415-563-8200
Fax Number
510-644-2044
Provider Enumeration Date
12/21/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1301 Pierce St.
City
State
Zip
94115
Phone Number
415-563-8200
Fax Number
510-644-2044
person
Provider Business Mailing Address Details
Address
1301 Pierce St.
City
State
Zip
94115
Phone Number
415-563-8200
Fax Number
510-644-2044
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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