Walter Otha Clark Iii is a Riverside, California based counselor who is specialized as Mental Health Counselor. Active license number of Walter Otha Clark Iii is 133051 II for Addiction (Substance Use Disorder) Counselor in California. His current practice location is 3525 Presley Ave, Riverside. Patients can book an appointment with him at 951-782-2400.
Walter Otha Clark Iii is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Walter Otha Clark Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Walter Otha Clark Iii |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | CATC II |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3525 Presley Ave, Riverside,
California, 92507-4453 |
| Phone: | 951-782-2400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1811230980 |
| NPI Enumeration Date: | 27 Mar, 2013 |
| NPI Last Update On: | 22 Aug, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walter Otha Clark Iii are as mentioned below.
| License Number | Specialization | State | Status | |
| 133051 II | Addiction (Substance Use Disorder) Counselor | California | Primary | |
| 3051-I | Mental Health Counselor | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Walter Otha Clark Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 133051 II | Other | California | CAADE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3525 Presley Ave,
Riverside, California |
| Zip: | 92507-4453 |
| Phone Number: | 951-782-2400 |
Patients can reach Walter Otha Clark Iii at
3525 Presley Ave, Riverside, California or can
call to book an appointment on 951-782-2400.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.