Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Moshea Clark, AMFT

Individual provider Mental Health Counselor · NPI 1235854043

Andre Moshea Clark, AMFT is a Mental Health Counselor in Encino, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

15720 Ventura Blvd
Encino, CA 91436-2914
Phone: (818) 927-0478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 125985 (CA)

Record details

NPI number1235854043
Entity typeIndividual (Type 1)
GenderMale
Credentials AMFT
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address8668 Shannonbrook Ct, Lemon Grove, CA 91945-2668

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