ANDRE MOSHEA CLARK

ENCINO, CA
NPI1235854043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  125985)
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
ANDRE MOSHEA CLARK AMFT
15720 VENTURA BLVD
ENCINO, CA 91436-2914
Phone number: 818-927-0478
Mailing Address
ANDRE MOSHEA CLARK AMFT
8668 SHANNONBROOK CT
LEMON GROVE, CA 91945-2668
Phone number: 850-241-3348
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