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DR. JEFFRY RUSSELL CLARK MFC
NPI 1174840789
Counselor - Mental Health in Palo Alto, CA

Active since April 23, 2010
220 S CALIFORNIA AVE STE 206, PALO ALTO, CA 94306(650) 322-4944(650) 322-4944 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffry Russell Clark Mfc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFRY RUSSELL CLARK MFC (NPI 1174840789) is an individual mental health provider in Palo Alto, California, licensed in California (MFT 18251) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1174840789
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JEFFRY RUSSELL CLARKCredential: MFC
Location Address220 S CALIFORNIA AVE STE 206Palo Alto, CA 94306-1636
Mailing Address220 S. California Ave., Suite 206Palo Alto, CA 94306 · (650) 322-4944 · Fax (650) 322-4944
Phone(650) 322-4944
Fax(650) 322-4944
Sole ProprietorYes
Enumeration DateApril 23, 2010
✔ NPI 1174840789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFT 18251
220 S CALIFORNIA AVE STE 206, Palo Alto, CA 94306
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Other Names 1

Professional Name (2)Dr. Jeffry Russell Clark

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffry Clark's NPI number?

The NPI number for Jeffry Clark is 1174840789. It was assigned to this individual provider in the NPPES registry on April 23, 2010. The provider is also known as Dr. Jeffry Russell Clark.

Where is Jeffry Clark located?

Jeffry Clark practices at 220 S California Ave Ste 206, Palo Alto, CA 94306. The listed phone number is (650) 322-4944.

What is Jeffry Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeffry Clark was last updated on April 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.