Individual
MR. ARTHUR MILTON CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 220-9964
Mailing address
227 E ALISO ST, POMONA, CA 91767-2703
(951) 220-9964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCI11220418
CA
Other
Enumeration date
04/11/2011
Last updated
11/20/2023
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