Clark, Crystal

Clark, Crystal is an individual health care provider with primary practice located at 12319 Highland Rd Ste 501 , Hartland MI 48353-2946. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Clark, Crystal can be contacted via phone (810) 991-1211.

Contact Information

Primary practice address
12319 Highland Rd Ste 501 Hartland MI 48353-2946
Phone: (810) 991-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1801259619
LBN Legal business name Clark, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Nov 1st, 2023 - 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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