Clark, Carla Gaff
Clark, Carla Gaff is an sole proprietor health care provider with primary practice located at 3111 W Jackson St , Muncie IN 47304-4371. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Clark, Carla Gaff can be contacted via phone (765) 284-0879.Contact Information
Primary practice address
3111 W Jackson St
Muncie IN 47304-4371
Phone: (765) 284-0879
Fax: (765) 284-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Indiana |
Profile Details
| NPI number | 1538273826 |
|---|---|
| LBN Legal business name | Clark, Carla Gaff |
| Credentials | EDD, HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538273826 | NPPES |
| Indiana | Other | 000000210033 | ANTHEAM BCBS |
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