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

Avery J Clark

Individual provider Mental Health Counselor · NPI 1023626884

Avery J Clark is a Mental Health Counselor in Chatsworth, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

9201 Oakdale Ave
Chatsworth, CA 91311-6542
Phone: (883) 227-3454
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence Y6738149 (CA)

Record details

NPI number1023626884
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address641 W 40th Pl Apt 109b, Los Angeles, CA 90037-2066

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