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Craig William Clark, Craig Clark, MFT

Marriage & Family Therapist in Santa Clara, CA. Individual provider (NPI-1).

NPI number1245453034
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1245453034
Entity type
Individual (NPI-1)
Name
Mr. Craig William Clark
Credential
Craig Clark, MFT
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFC34874CAYes

Practice location

100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520

Phone 408-296-5758 · Fax 408-247-3976

Mailing address

100 N Winchester Blvd
Suite 264
Santa Clara, CA 95050-6520

Phone 408-296-5758 · Fax 408-247-3976

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