IndividualActive
Avery Clark
NPI 1023626884 · Mental Health Counselor · Chatsworth, CA
Avery Clark is a Mental Health Counselor provider in Chatsworth, CA (NPI 1023626884).
Provider details
- NPI number
- 1023626884
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- Y6738149 (CA)
Practice location
9201 Oakdale Ave
Chatsworth, CA 91311-6542
Phone: (883) 227-3454
Street-level locationGet directions
Mailing address
641 W 40th Pl Apt 109b
Los Angeles, CA 90037-2066
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.