Hannah Marie Clark
Counselor, Professional in Oceanside, CA. Individual provider (NPI-1).
NPI number1861137705
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1861137705
- Entity type
- Individual (NPI-1)
- Name
- Hannah Marie Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2022
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 15023 | CA | Yes |
Practice location
3605 Vista Way Ste 258Oceanside, CA 92056-4565
Phone 760-758-1480
Mailing address
3605 Vista Way Ste 258Oceanside, CA 92056-4565
Phone 760-758-1480
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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