Individual
CHRIS GORDON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1816 S FIGUEROA ST FL 6, LOS ANGELES, CA 90015-3422
(310) 251-2145
Mailing address
1816 S FIGUEROA ST FL 6, LOS ANGELES, CA 90015-3422
(310) 251-2145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
06/17/2021
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