CHRISTION CHERYL CLARK
NPI 1679955314
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Christion Clark's NPI number?

The NPI number for Christion Clark is 1679955314. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Christion Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Christion Clark was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 18, 2015

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christion Cheryl Clark NPPES

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

CHRISTION CHERYL CLARK (NPI 1679955314) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1679955314

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHRISTION CHERYL CLARK

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorYes

Enumeration DateJune 18, 2015

✔ NPI 1679955314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2865 LOGAN AVE, San Diego, CA 92113

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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.

DIONE TAYLOR

Counselor (Mental Health)