JONATHAN J CLARK

LONG BEACH, CA
NPI1851740724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW13429)
Enumeration Date2016-06-10
Last Update Date2016-06-10
Business Address
Mr. JONATHAN J CLARK LCSW
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
Mailing Address
Mr. JONATHAN J CLARK LCSW
PO BOX 5571
GARDEN GROVE, CA 92846-0571
Phone number: 941-626-2019