Clark, Andrew J
Clark, Andrew J is an sole proprietor health care provider with primary practice located at 1219 Oak Knoll Rd , Santa Maria CA 93455-4303. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Clark, Andrew J can be contacted via phone (805) 268-5218.Contact Information
Primary practice address
1219 Oak Knoll Rd
Santa Maria CA 93455-4303
Phone: (805) 268-5218
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | LEP3168 | California |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LEP3168 | California |
Behavioral Health & Social Service Providers / School | 101YS0200X | LEP3168 | California |
Profile Details
NPI number | 1316215528 |
---|---|
LBN Legal business name | Clark, Andrew J |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2011 |
Last updated | Aug 14th, 2019 - about 5 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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