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

Dr. Jeffry Russell Clark, MFC

Individual provider Mental Health Counselor · NPI 1174840789

Dr. Jeffry Russell Clark, MFC is a Mental Health Counselor in Palo Alto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

220 S California Ave Ste 206
Palo Alto, CA 94306-1636
Phone: (650) 322-4944
Fax: (650) 322-4944
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 MFT 18251 (CA)

Record details

NPI number1174840789
Entity typeIndividual (Type 1)
GenderMale
Credentials MFC
Sole proprietorYes
NPI enumeratedApril 23, 2010
Last updated in NPPESApril 23, 2010

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