Jeffrey Kenneth Clark, - Counselor in Concord, CA

Jeffrey Kenneth Clark, is a Counselor - Addiction (substance Use Disorder) based in Concord, California. Jeffrey Kenneth Clark is licensed to practice in California (license number ) and his current practice location is 1470 Civic Ct, Concord, California. He can be reached at his office (for appointments etc.) via phone at (925) 849-6173.

NPI number for Jeffrey Kenneth Clark is 1952945248 and his current mailing address is 2350 Woodhill Dr, Pittsburg, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952945248.

Contact Information

Jeffrey Kenneth Clark,
1470 Civic Ct,
Concord, CA 94520-5290
(925) 849-6173
(925) 849-6832

Map and Direction


Healthcare Provider's Profile

Full NameJeffrey Kenneth Clark
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1470 Civic Ct, Concord, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952945248
  • Provider Enumeration Date: 10/30/2019
  • Last Update Date: 10/30/2019

Medical Identifiers

Medical identifiers for Jeffrey Kenneth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952945248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Kenneth Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeffrey Kenneth Clark,
2350 Woodhill Dr,
Pittsburg, CA 94565-7332

Ph: (510) 589-2106
Jeffrey Kenneth Clark,
1470 Civic Ct,
Concord, CA 94520-5290

Ph: (925) 849-6173

Reviews and Comments


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