AVERY J CLARK

CHATSWORTH, CA
NPI1023626884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  y6738149)
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
AVERY J CLARK
9201 OAKDALE AVE
CHATSWORTH, CA 91311-6542
Phone number: 883-227-3454
Mailing Address
AVERY J CLARK
641 W 40TH PL APT 109B
LOS ANGELES, CA 90037-2066
Phone number: 323-670-8863
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