Clark, Brooke Danielle

Clark, Brooke Danielle is an individual health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Brooke Danielle can be contacted via phone (818) 686-3000.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 686-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF 71502 California

Profile Details

NPI number 1558600213
LBN Legal business name Clark, Brooke Danielle
Credentials PPS, MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Feb 7th, 2013 - about 12 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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