Clark, Chanell
Clark, Chanell is an individual health care provider with primary practice located at 1176 E Warner Rd Ste 111 , Gilbert AZ 85296-3068. 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, Chanell can be contacted via phone (480) 824-8458.Contact Information
Primary practice address
1176 E Warner Rd Ste 111
Gilbert AZ 85296-3068
Phone: (480) 824-8458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 10367 | Arizona |
Profile Details
| NPI number | 1700373875 |
|---|---|
| LBN Legal business name | Clark, Chanell |
| Credentials | MAS-MFT, LAMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2018 |
| Last updated | Apr 15th, 2018 - about 7 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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