JEFFRY RUSSELL CLARK

PALO ALTO, CA
NPI1174840789
Professional NameJEFFRY RUSSELL CLARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFT 18251)
Enumeration Date2010-04-23
Last Update Date2010-04-23
Business Address
Dr. JEFFRY RUSSELL CLARK MFC
220 S CALIFORNIA AVE STE 206
PALO ALTO, CA 94306-1636
Phone number: 650-322-4944
Mailing Address
Dr. JEFFRY RUSSELL CLARK MFC
220 S. CALIFORNIA AVE., SUITE 206
PALO ALTO, CA 94306
Phone number: 650-322-4944