D'Andre Clark

Counselor · Glendale, AZ

Individual Active NPI

NPI number 1659233740

Practice location

17235 N 75TH Ave
Glendale, AZ 85308-0831
Phone
(480) 878-7115

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NPI record

NPI
1659233740
Entity type
Individual (Type 1)
Enumeration date
November 26, 2025
Last updated
November 26, 2025
Certified
November 26, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

21244 N 262ND Dr
Buckeye, AZ 85396-7600
Phone
(661) 303-0864
Fax
(661) 303-0864

About D'Andre Clark

D'Andre Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 17235 N 75TH Ave, Glendale, AZ 85308-0831. The NPI number 1659233740 was assigned on November 26, 2025 and the record was last updated on November 26, 2025.

Frequently asked questions

What is the NPI number of D'Andre Clark?

The NPI number is 1659233740.

What is the phone number of D'Andre Clark?

The phone number listed for the practice location is (480) 878-7115.

Where is D'Andre Clark located?

17235 N 75TH Ave, Glendale, AZ 85308-0831.

What is the taxonomy code for D'Andre Clark?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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