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

Khristian Clark

Individual provider Mental Health Counselor · NPI 1851055792

Khristian Clark is a Mental Health Counselor in Escondido, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

25143 Jack Rabbit Acres
Escondido, CA 92026-1267
Phone: (760) 566-8648
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1851055792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address1738 S Tremont St, Oceanside, CA 92054-5309

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