Most Relevant Information
Provider Data
| NPI Number: | 1003339730 |
| Provider Name: | MICHAEL ERWIN CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 134257 |
Most Important Dates
| Enumeration Date: | 07/25/2017 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
2540 CHARLESTON ST
OAKLAND
CA
94602
Practice Location Phone/Fax
| Phone: | 5105317551 |
| Fax: |
Provider Mailing Location
2540 CHARLESTON ST
OAKLAND
CA
946022508
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |