Rebecca Clark, APCC

NPI 1881416238 · on the registry since 2024 · sole proprietor

Practice

Address: 2180 Johnson Ave
San Luis Obispo, CA 93401
Phone: (805) 461-6060
Fax: (805) 461-6061
Organisation at this address: Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 181

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California