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

Madisyn Synclaire Clark

Individual provider Mental Health Counselor · NPI 1023746955

Madisyn Synclaire Clark is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

5811 S San Pedro St
Los Angeles, CA 90011-5323
Phone: (323) 234-4445
Fax: (323) 234-4477
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1023746955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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