Renee L Clark, MHRS is a
Counselor - Mental Health based in Caspar, California. Renee L Clark is licensed to practice in California (license number 105691) and her current practice location is
45310 Pacifica Dr, Caspar, California. She can be reached at her office (for appointments etc.) via phone at
(707) 200-3973.
NPI number for Renee L Clark is 1376788455 and her current mailing address is Po Box 1263, Mendocino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376788455.
Healthcare Provider's Profile
| Full Name | Renee L Clark |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 45310 Pacifica Dr, Caspar, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376788455
- Provider Enumeration Date: 12/03/2008
- Last Update Date: 05/07/2018
Medical Identifiers
Medical identifiers for Renee L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376788455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 105691 (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. Renee L 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 Address | Practice Location Address |
|---|
Renee L Clark, MHRS
Po Box 1263,
Mendocino, CA 95460-1263
Ph: () - | Renee L Clark, MHRS
45310 Pacifica Dr,
Caspar, CA 95420-0185
Ph: (707) 200-3973 |
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