Canine, M Clark

Canine, M Clark is an individual health care provider with primary practice located at 2281 Lee Rd Suite 206, Winter Park FL 32789-7203. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Canine, M Clark can be contacted via phone (407) 647-4902.

Contact Information

Primary practice address
2281 Lee Rd Suite 206 Winter Park FL 32789-7203
Phone: (407) 647-4902
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH 6630 Florida

Profile Details

NPI number 1275545576
LBN Legal business name Canine, M Clark
Credentials MA LMHC NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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