person
Gloria Dehaven Clark, CADCA
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1992925960

Gloria Dehaven Clark is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Gloria Dehaven Clark practices in Long Beach, CA and has the professional credentials of CADCA. The NPI Number for Gloria Dehaven Clark is 1992925960 and holds a License No. (California).

The current practice location address for Gloria Dehaven Clark is 3125 E 7Th St, Long Beach, CA and can be reached out via phone at 562-987-5742 and via fax at 562-987-2488. You can also correspond with Gloria Dehaven Clark through the mailing address at 3125 E 7TH ST, LONG BEACH, CA - 90804-4932 (mailing address contact number: 562-987-5742).

Location: 3125 E 7Th St, Long Beach, CA, 90804-4932
person
Provider Profile Details
NPI Number
1992925960
Provider Name
Gloria Dehaven Clark
Credential
CADCA
Provider Entity Type
Individual
Gender
Female
Address
3125 E 7Th St, Long Beach, CA, 90804-4932
Phone Number
562-987-5742
Fax Number
562-987-2488
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1989 05 CA
institution
Provider Business Practice Location Address Details
Address
3125 E 7Th St
City
State
Zip
90804-4932
Phone Number
562-987-5742
Fax Number
562-987-2488
person
Provider Business Mailing Address Details
Address
3125 E 7Th St
City
State
Zip
90804-4932
Phone Number
562-987-5742
Fax Number
562-987-2488
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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