Individual
CALEB EARL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5284 ADOLFO RD STE 100, CAMARILLO, CA 93012-6790
(805) 289-0120
(805) 289-0130
Mailing address
5284 ADOLFO RD STE 100, CAMARILLO, CA 93012-6790
(805) 289-0120
(805) 289-0130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
ASPIRA
CA
Enumeration date
11/12/2021
Last updated
11/15/2021
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