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JACK CLARK
NPI 1477799112
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since December 31, 2008
4411 N CEDAR AVE, FRESNO, CA 93726(559) 248-1548(229) 248-1530 Get Directions Write a Review

NPPES record last updated: December 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Clark NPPES

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

JACK CLARK (NPI 1477799112) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1477799112
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK CLARK
Location Address4411 N CEDAR AVEFresno, CA 93726-2538
Mailing Address830 West AveSanger, CA 93657-2849 · (559) 248-1548 · Fax (559) 248-1530
Phone(559) 248-1548
Fax(229) 248-1530
Sole ProprietorNo
Enumeration DateDecember 31, 2008
✔ NPI 1477799112 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
4411 N CEDAR AVE, Fresno, CA 93726
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Other Providers at the Same Location NPPES 6

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

JESSICA VICTORIA LARA
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 248-1548
JOHN JANES M.S.
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 248-1548
MS. MONALISSA TORRES I
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE, SUITE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
WILLIE TURNER JR.
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE, 108
FRESNO, CA 93726
Fresno County (559) 248-1548
DAVID BETHEA
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE
FRESNO, CA 93726
Fresno County (559) 248-1548
FRANCES SANCHEZ
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE, #108
FRESNO, CA 93726
Fresno County (559) 248-1548

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 Jack Clark's NPI number?

The NPI number for Jack Clark is 1477799112. It was assigned to this individual provider in the NPPES registry on December 31, 2008.

Where is Jack Clark located?

Jack Clark practices at 4411 N Cedar Ave, Fresno, CA 93726. The listed phone number is (559) 248-1548.

What is Jack 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 Jack Clark was last updated on December 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.