DYANA CLARK MA, LPC
NPI 1902456049
Counselor - Professional in El Cajon, CA
- Individual
- Female
- Counselor
- Professional
About DYANA CLARK
This page provides the complete NPI Profile along with additional information for Dyana Clark, a provider established in El Cajon, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1902456049 assigned on September 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 74708 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1902456049 Verify this NPI
- Provider Name
- DYANA CLARK MA, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2295 FLETCHER PKWY STE 101 EL CAJON, CA 92020
- Location Phone
- (619) 618-6414
- Mailing Address
- 2295 FLETCHER PKWY STE 101 EL CAJON, CA 92020
- Mailing Phone
- (619) 618-6414
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-19-2019
- Last Update Date
- 11-22-2024
- 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 74708
- License State
- TX
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
EL CAJON, CA 92020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902456049, enumerated as an "individual" on September 19, 2019.
The provider is located at 2295 FLETCHER PKWY STE 101 EL CAJON, CA 92020 and the phone number is (619) 618-6414.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
