Individual
TAMARA MATHISON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
1393 BAILEY ST, HANFORD, CA 93230-5922
(559) 582-4481
Mailing address
1393 BAILEY ST, HANFORD, CA 93230-5922
(559) 582-4481
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20765
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/16/2023
Last updated
04/20/2026
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