Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER OTHA CLARK III, CATC II
ActiveWALTER OTHA CLARK III, CATC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in RIVERSIDE, California. NPI 1811230980 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · RIVERSIDE, CA
Registration Details
- NPI Number
- 1811230980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2013 (13.373447119997 yrs)
- Last Updated
- Aug 22, 2013
- Licenses
-
3051-I (CA)133051 II (CA)
Practice Information
- Address
-
3525 PRESLEY AVERIVERSIDE, CA, 925074453Browse CA providers · Browse ZIP 92507
- Phone
- 9517822400
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| KEITH JAY OYAMA | RPH | 1295746485 |
| MRS. LISA K. VANEGAS | CADC-1 | 1447361266 |
| CHARLES HALLOWAY STOCKMAN | — | 1174614275 |
| MS. REGINA KENNEDY | LMFT | 1104973494 |
| MR. SEAN M. BILLS | CADC-II | 1427196823 |
| JOHN D OCONNELL | CDAC | 1770622961 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.