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

Theresa Clark

Individual provider Marriage & Family Therapist · NPI 1457688384

Theresa Clark is a Marriage & Family Therapist in Sebastopol, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone: (707) 634-9034
Fax: (707) 823-3410
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 47533 (CA)

Record details

NPI number1457688384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2009
Last updated in NPPESJuly 8, 2016

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