Clark, Anna Lisa

Clark, Anna Lisa is an individual health care provider with primary practice located at 35888 Center Ridge Rd Suite 5, North Ridgeville OH 44039-3086. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Anna Lisa can be contacted via phone (440) 327-1800.

Contact Information

Primary practice address
35888 Center Ridge Rd Suite 5 North Ridgeville OH 44039-3086
Phone: (440) 327-1800
Fax: (440) 327-1533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0007941 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 862262 Ohio

Profile Details

NPI number 1457376485
LBN Legal business name Clark, Anna Lisa
Credentials LISW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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