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MS. MARY KATHERINE CLARK
NPI 1740689397
Counselor - Addiction (Substance Use Disorder) in Orland, CA

Active since August 20, 2014
1187 E SOUTH ST, ORLAND, CA 95963(530) 865-1146(530) 865-6483 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Katherine Clark NPPES

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

MS. MARY KATHERINE CLARK (NPI 1740689397) is an individual addiction (substance use disorder) provider in Orland, California, licensed in California (C0710221142) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1740689397
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY KATHERINE CLARK
Location Address1187 E SOUTH STOrland, CA 95963-9136
Mailing Address1187 E South StOrland, CA 95963-9136 · (530) 865-1146 · Fax (530) 865-6483
Phone(530) 865-1146
Fax(530) 865-6483
Sole ProprietorNo
Enumeration DateAugust 20, 2014
✔ NPI 1740689397 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
License✔ Licensed in CA · C0710221142
1187 E SOUTH ST, Orland, CA 95963
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Other Names 1

Former Name (1)Ms. Mary Shadle Ras

Other Providers at the Same Location NPPES 15

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

PEDRO DANILO BOBADILLA
Case Manager/Care Coordinator
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-1146
NOEMI AVILA-REYES
Rehabilitation Practitioner
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-6459
MILES AMUNDSON RAS
Counselor (Addiction (Substance Use Disorder))
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-1146
LORENNA LEON
Rehabilitation Practitioner
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-6459
MEGAN ORTIZ
Counselor (Addiction (Substance Use Disorder))
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-6459
EDGAR RUIZ-ENRIQUEZ
Adult Companion
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-6459
MIGUEL SERRATO RAMIREZ
Social Worker
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-6459
GRANT SCOTT PARKISON RAS
Counselor (Addiction (Substance Use Disorder))
1187 E SOUTH ST
ORLAND, CA 95963
Glenn County (530) 865-1146

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1740689397. It was assigned to this individual provider in the NPPES registry on August 20, 2014. The provider is also known as Ms. Mary Shadle Ras.

Where is Mary Clark located?

Mary Clark practices at 1187 E South St, Orland, CA 95963. The listed phone number is (530) 865-1146.

What is Mary 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 Mary Clark was last updated on August 20, 2014. 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.