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

Kayla Nicole Clark

Individual provider Counselor · NPI 1790256725

Kayla Nicole Clark is a Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

3433 W Shaw Ave Ste 107
Fresno, CA 93711-3229
Phone: (559) 476-2115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Peer Specialist Taxonomy 175T00000X · Licence MPSS-NRETPW (CA)

Record details

NPI number1790256725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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