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DEMARCUS CLARK
NPI 1497918122
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since July 02, 2008
5311 S WESTERN AVE, LOS ANGELES, CA 90062(323) 299-2111 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Demarcus Clark NPPES

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

DEMARCUS CLARK (NPI 1497918122) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1497918122
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEMARCUS CLARK
Location Address5311 S WESTERN AVELos Angeles, CA 90062-2703
Mailing Address5311 S Western AveLos Angeles, CA 90062-2703 · (323) 299-2111
Phone(323) 299-2111
Sole ProprietorNo
Enumeration DateJuly 2, 2008
✔ NPI 1497918122 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
5311 S WESTERN AVE, Los Angeles, CA 90062
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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.

JESSE ACEVES
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
ROY JIMENEZ
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
CONSTANCE JONES
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
JAMES CAUDILLO
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
STACIE LOGGINS
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
GINA MONIQUE JOHNSON
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
WYNTON WALLERS
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111
BENJAMIN JARAMILLO
Counselor (Addiction (Substance Use Disorder))
5311 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 299-2111

Frequently Asked Questions

What is Demarcus Clark's NPI number?

The NPI number assigned to this healthcare provider is 1497918122, enumerated as an "individual" on July 02, 2008.

Where is the provider located?

The provider is located at 5311 S WESTERN AVE LOS ANGELES, CA 90062 and the phone number is (323) 299-2111.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).