JEFFREY KENNETH CLARK

CONCORD, CA
NPI1952945248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-30
Last Update Date2019-10-30
Business Address
JEFFREY KENNETH CLARK
1470 CIVIC CT
CONCORD, CA 94520-5290
Phone number: 925-849-6173
Mailing Address
JEFFREY KENNETH CLARK
2350 WOODHILL DR
PITTSBURG, CA 94565-7332
Phone number: 510-589-2106
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