ANDREA MARIE CLARK
NPI 1467639690
Counselor - Mental Health in Antioch, CA

Active since January 30, 2008
1401 W 4TH ST, ANTIOCH, CA 94509(925) 778-3750(925) 778-3750 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Marie Clark NPPES

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

ANDREA MARIE CLARK (NPI 1467639690) is an individual mental health provider in Antioch, California and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1467639690
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA MARIE CLARK
Location Address1401 W 4TH STAntioch, CA 94509-1024
Mailing Address1401 W 4th StAntioch, CA 94509-1024 · (925) 778-3750 · Fax (925) 778-3750
Fax(925) 778-3750
Sole ProprietorNo
Enumeration DateJanuary 30, 2008
Last NPPES UpdateMarch 17, 2009
NPI 1467639690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1401 W 4TH ST, Antioch, CA 94509

Other Providers at the Same Location NPPES 17

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

Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
1401 W 4TH ST
ANTIOCH, CA 94509

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 Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1467639690. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Andrea Clark located?

Andrea Clark practices at 1401 W 4th St, Antioch, CA 94509. The listed phone number is (925) 778-3750.

What is Andrea 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 Andrea Clark was last updated on March 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.