Clark, Hugh
Clark, Hugh is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Clark, Hugh can be contacted via phone (910) 440-2080.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 440-2080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | SW11255 | Florida |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | C010704 | North Carolina |
Profile Details
| NPI number | 1346770666 |
|---|---|
| LBN Legal business name | Clark, Hugh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2017 |
| Last updated | May 10th, 2021 - about 3 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 | 1346770666 | NPPES |
| Florida | Other | 12510840 | CAQH |
| Florida | Other | SW11255 | CAQH |
| Florida | Other | C010704 | CAQH |
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