Clark, Avery J

Clark, Avery J is an individual health care provider with primary practice located at 9201 Oakdale Ave , Chatsworth CA 91311-6542. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clark, Avery J can be contacted via phone (883) 227-3454.

Contact Information

Primary practice address
9201 Oakdale Ave Chatsworth CA 91311-6542
Phone: (883) 227-3454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Y6738149 California

Profile Details

NPI number 1023626884
LBN Legal business name Clark, Avery J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Jul 17th, 2020 - about 4 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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