Walter Otha Clark III, CATCII
Walter Otha Clark III, CATCII is a Mental Health Counselor in Riverside, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
3525 Presley AveRiverside, CA 92507-4453
Phone: (951) 782-2400
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 133051 II (CA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 3051-I (CA) |
Record details
| NPI number | 1811230980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CATCII |
| Sole proprietor | No |
| NPI enumerated | March 27, 2013 |
| Last updated in NPPES | August 22, 2013 |
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