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TIFFANY CLARK
NPI 1336802271
Counselor - Addiction (Substance Use Disorder) in Trabuco Canyon, CA

Active since October 18, 2021
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679(818) 582-8832(818) 582-8836 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Jan 3, 2022, Oct 18, 2021 (3 updates tracked since 2021).

About Tiffany Clark NPPES

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

TIFFANY CLARK (NPI 1336802271) is an individual addiction (substance use disorder) provider in Trabuco Canyon, California, licensed in California (B00003500724) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1336802271
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTIFFANY CLARK
Location Address20331 FLANAGAN ROADTrabuco Canyon, CA 92679
Mailing Address8140 Sunland BlvdSun Valley, CA 91352-3948 · (949) 283-1260
Phone(818) 582-8832
Fax(818) 582-8836
Sole ProprietorNo
Enumeration DateOctober 18, 2021
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1336802271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · B00003500724
20331 FLANAGAN ROAD, Trabuco Canyon, CA 92679
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOHN PAUL ZUNIGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. GINA REIGH FRAGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
LYNN MARIE NYHUS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
KELSEY FREDENBERG
Social Worker
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. YOLITA HENDRICKS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
DAISY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
ATLANTA DANIELLE ST.MARTIN RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MYKAYLA SWANSON
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832

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 Tiffany Clark's NPI number?

The NPI number for Tiffany Clark is 1336802271. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Tiffany Clark located?

Tiffany Clark practices at 20331 Flanagan Road, Trabuco Canyon, CA 92679. The listed phone number is (818) 582-8832.

What is Tiffany Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Clark was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.