MICHELE C CLARK

BLOOMINGTON, CA
NPI1215303995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-08-17
Last Update Date2018-03-08
Business Address
MICHELE C CLARK CADC-I
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
Mailing Address
MICHELE C CLARK CADC-I
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274