Mr. Glen Antonio Clark III
Mr. Glen Antonio Clark III is an Addiction (Substance Use Disorder) Counselor in San Francisco, California. Works from 2 locations. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1301 Pierce StSan Francisco, CA 94115
Phone: (415) 563-8200
Fax: (510) 644-2044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 900 Laurel Ave, San Mateo, CA 94401-4211 — (650) 347-8088
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1952585218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 21, 2007 |
| Last updated in NPPES | December 17, 2024 |
| Certification date | December 17, 2024 |
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