ELIZABETH CLARK

SAN BERNARDINO, CA
NPI1508061615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  01-047276)
Enumeration Date2007-06-19
Last Update Date2014-06-16
Business Address
-- ELIZABETH CLARK
780 E GILBERT ST SUITE 23 & 24
SAN BERNARDINO, CA 92415-1003
Phone number: 909-387-7458
Mailing Address
-- ELIZABETH CLARK
4369 SIERRA AVE
NORCO, CA 92860-1347
Phone number: 909-387-7458