Healthcare Provider Details

I. General information

NPI: 1821993817
Provider Name (Legal Business Name): CLEAR SKY COUNSELING PROFESSIONAL CLINCAL COUNSELOR PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 CALLE MAGDALENA STE 203
ENCINITAS CA
92024-3709
US

IV. Provider business mailing address

1643 SONATA LN
SAN MARCOS CA
92078-4627
US

V. Phone/Fax

Practice location:
  • Phone: 310-422-2764
  • Fax:
Mailing address:
  • Phone: 310-422-2764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRET KLAUSEN
Title or Position: OWNER
Credential: LPCC
Phone: 310-422-2764