Kandis Clark
Kandis Clark is a Mental Health Counselor in Camarillo, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1756 S Lewis RdCamarillo, CA 93012-8520
Phone: (805) 642-7033
Fax: (805) 642-7201
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1538414149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 19, 2012 |
| Last updated in NPPES | July 19, 2012 |
| Mailing address | 261 N Dos Caminos Ave # 261, Ventura, CA 93003-1646 |
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