Clark, Casandra Jewel

Clark, Casandra Jewel is an sole proprietor health care provider with primary practice located at 8682 Inwood Ave S , Cottage Grove MN 55016-4716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Clark, Casandra Jewel can be contacted via phone (651) 341-9660.

Contact Information

Primary practice address
8682 Inwood Ave S Cottage Grove MN 55016-4716
Phone: (651) 341-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP5929 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1902231210
LBN Legal business name Clark, Casandra Jewel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2013
Last updated Sep 16th, 2022 - about 2 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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