THERESA CLARK

SEBASTOPOL, CA
NPI1457688384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  47533)
Enumeration Date2009-11-13
Last Update Date2016-07-08
Business Address
-- THERESA CLARK
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9034
Mailing Address
-- THERESA CLARK
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472-2607
Phone number: 707-634-9063