Clark, Angela Johan

Clark, Angela Johan is an individual health care provider with primary practice located at 673 S Auburn St , Grass Valley CA 95945-7576. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Angela Johan can be contacted via phone (530) 913-7221.

Contact Information

Primary practice address
673 S Auburn St Grass Valley CA 95945-7576
Phone: (530) 913-7221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2017043804 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 13646 California

Profile Details

NPI number 1013425578
LBN Legal business name Clark, Angela Johan
Credentials LPC, LPCC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Jun 1st, 2023 - about 2 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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