KELLA CECILE CLARK PPS, MS
NPI 1528864584
Counselor - School in Modesto, CA
- Individual
- Female
- Counselor
- School
About KELLA CLARK
This page provides the complete NPI Profile along with additional information for Kella Clark, a provider established in Modesto, California with a medical specialization in Counselor, focusing in school . The healthcare provider is registered in the NPI registry with number 1528864584 assigned on February 2025. The practitioner's primary taxonomy code is 101YS0200X with license number 240320617 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1528864584 Verify this NPI
- Provider Name
- KELLA CECILE CLARK PPS, MS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2243 W RUMBLE RD MODESTO, CA 95350
- Location Phone
- (916) 284-7253
- Mailing Address
- 2243 W RUMBLE RD MODESTO, CA 95350
- Mailing Phone
- (916) 284-7253
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-20-2025
- Last Update Date
- 02-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor School
- Taxonomy Code
- 101YS0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 240320617
- License State
- CA
Reviews for KELLA CECILE CLARK PPS, MS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MODESTO, CA 95350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528864584, enumerated as an "individual" on February 20, 2025.
The provider is located at 2243 W RUMBLE RD MODESTO, CA 95350 and the phone number is (916) 284-7253.
Counselor with taxonomy code 101YS0200X and a focus in School.
