MS. VIRGINIA CLARK, PH D MFT

Marriage & Family Therapist

Active Individual
NPI: 1407949662

Practice Address

1107 ABBOT KINNEY BLVD
Venice, CA 90291

Phone: (310) 281-6059

Specialties

Specialty Code Primary License
Marriage & Family Therapist 106H00000X Yes MFC5298 (CA)

Frequently Asked Questions

NPI 1407949662 is the National Provider Identifier for MS. VIRGINIA CLARK, PH D MFT, a Marriage & Family Therapist provider located in Venice, CA. This NPI was enumerated on October 2, 2006.
MS. VIRGINIA CLARK, PH D MFT practices at 1107 ABBOT KINNEY BLVD, Venice, CA 90291.

Quick Facts

NPI
1407949662
Type
Individual
Enumerated
Oct 2, 2006
Last Updated
Jul 8, 2007

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