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
Fax: (765) 284-1480
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538273826 NPPES
Indiana Other 000000210033 ANTHEAM BCBS

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