MS. CAROLYN L LATTA-CLARK MFT
NPI 1871612945
Marriage & Family Therapist in San Bernardino, CA

Q: What is Carolyn Latta-clark's NPI number?

The NPI number for Carolyn Latta-clark is 1871612945. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Carolyn Latta-clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since March 28, 2007

780 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 387-7380 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Carolyn L Latta-clark Mft NPPES

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

MS. CAROLYN L LATTA-CLARK MFT (NPI 1871612945) is an individual marriage & family therapist in San Bernardino, California, licensed in California (42636) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1871612945

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CAROLYN L LATTA-CLARKCredential: MFT

Location Address780 E GILBERT STSan Bernardino, CA 92415-1003

Mailing Address12630 Perris StOak Hills, CA 92344-7859 · (760) 949-6001

Phone(909) 387-7380

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateApril 23, 2012

✔ NPI 1871612945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 42636

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

780 E GILBERT ST, San Bernardino, CA 92415

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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.

VICTOR PARKER

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