Ollie Bruce Clark, L.M.F.T.
Marriage & Family Therapist in Beaumont, CA. Individual provider (NPI-1).
NPI number1619201159
StatusActive
Last updated in NPPESOct 1, 2009
Details
- NPI
- 1619201159
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ollie Bruce Clark
- Credential
- L.M.F.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2009
- Last updated
- Oct 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 18786 | CA | Yes |
Practice location
136 E 6th StBeaumont, CA 92223-2146
Phone 951-845-3588
Mailing address
136 E 6th StBeaumont, CA 92223-2146
Phone 951-845-3588
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All 26 Marriage & Family Therapist providers in Beaumont · All 555 providers in Beaumont
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