Clark, Angela

Clark, Angela is an individual health care provider with primary practice located at 1109 Burman Dr , Jacksonville AR 72076-4386. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clark, Angela can be contacted via phone (501) 982-7515.

Contact Information

Primary practice address
1109 Burman Dr Jacksonville AR 72076-4386
Phone: (501) 982-7515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A1510140 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1804053 Arkansas

Profile Details

NPI number 1184098469
LBN Legal business name Clark, Angela
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2015
Last updated May 8th, 2018 - 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.

Request for update

Popular Providers