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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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