Organization
MICHAEL CLARK MARRIAGE AND FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ERWIN CLARK JR. LMFT (CEO)
(510) 556-5800
Entity
Organization
Contact information
Practice address
1918 BONITA AVE STE 208, BERKELEY, CA 94704-1014
(510) 556-5800
Mailing address
70 HARLAN ST APT 101, SAN LEANDRO, CA 94577-5850
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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