Clark, Alice M

Clark, Alice M is an sole proprietor health care provider with primary practice located at 5377 Manhattan Cir Suite 200, Boulder CO 80303-4333. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Alice M can be contacted via phone (303) 263-7855.

Contact Information

Primary practice address
5377 Manhattan Cir Suite 200 Boulder CO 80303-4333
Phone: (303) 263-7855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5499 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 1687 Colorado

Profile Details

NPI number 1760495329
LBN Legal business name Clark, Alice M
Credentials MA, LPC, CACIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Mar 21st, 2011 - about 13 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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