| Doctor Name: | CLIFTON BLAKE SPIRES |
| NPI Number: | 1053639443 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 66039 |
| Business Practice Address: | 460 E Carson Plaza Dr Ste 122 Childrens Bureau Carson, CA - 907463278 |
| Business Phone Number: | 3105239500 |
| Business Fax Number: | |
| Mailing Address: | 22751 El Prado, 3203 RANCHO SANTA MARGARITA |
| State: | CA |
| Postal Code: | 926883814 |
| Phone Number: | 9493383456 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2010 |
| NPI Last Update Date: | 03/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 66039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |