MATTHEW CLARK

UPLAND, CA
NPI1538930045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1503700423)
Enumeration Date2024-01-12
Last Update Date2024-05-30
Business Address
MATTHEW CLARK
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-340-4276
Mailing Address
MATTHEW CLARK
4764 DUNDEE RD
RIVERSIDE, CA 92503-2125
Phone number: 951-569-2014
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