NPI 1003936824

Ronald Earl Clark

Practitioner Mental Health Counselor Mesa, AZ

Practice location

Address: 3846 E Dartmouth St, Mesa, AZ 85205-6104
Phone: (480) 229-1722

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence UNLICENSED (AZ)

Other Counselor providers in Arizona →

Registry record

NPI: 1003936824
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.