FRED ALLEN CLARK

SACRAMENTO, CA
NPI1790059269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  3605)
Enumeration Date2012-03-01
Last Update Date2013-05-21
Business Address
-- FRED ALLEN CLARK PhD, LMFT
2701 COTTAGE WAY 38
SACRAMENTO, CA 95825-1225
Phone number: 916-481-2071
Mailing Address
-- FRED ALLEN CLARK PhD, LMFT
PO BOX 162550
SACRAMENTO, CA 95816-2550
Phone number: 916-688-0801