| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDRA CLARK | 1184223554 | 2020-10-18 |
Alexandra Clark is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184223554. Registration indicates Alexandra Clark is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Alexandra Clark LMFT |
| Practice Office Address | 101 S KRAEMER BLVD STE 230 PLACENTIA, CA US |
| Practice Office Telephone | 7143212881 |
| Mailing Address | PO BOX 3615 COSTA MESA, CA 926283615 US |
| Business Telephone | 7143212881 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 122414
CA |