ANDREW J CLARK

SANTA MARIA, CA
NPI1316215528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: CA  LEP3168)
Additional Taxonomies103TS0200X Psychologist, School
(Licence: CA  LEP3168)
101YS0200X Counselor, School
(Licence: CA  LEP3168)
Enumeration Date2011-12-02
Last Update Date2019-08-14
Business Address
Mr. ANDREW J CLARK
1219 OAK KNOLL RD
SANTA MARIA, CA 93455-4303
Phone number: 805-268-5218
Mailing Address
Mr. ANDREW J CLARK
PO BOX 2531
SANTA MARIA, CA 93457-2531
Phone number: 805-268-5218