Individual
DYANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2295 FLETCHER PKWY STE 101, EL CAJON, CA 92020-2140
(619) 618-6414
Mailing address
2295 FLETCHER PKWY STE 101, EL CAJON, CA 92020-2140
(619) 618-6414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
74708
TX
Other
Enumeration date
09/19/2019
Last updated
11/22/2024
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