Clark, Jessica Rain
Clark, Jessica Rain is an sole proprietor health care provider with primary practice located at 655 Oak Grove Ave Unit 170 , Menlo Park CA 94026-5002. 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, Jessica Rain can be contacted via phone (650) 275-4880.Contact Information
Primary practice address
655 Oak Grove Ave Unit 170
Menlo Park CA 94026-5002
Phone: (650) 275-4880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 44628 | California |
Profile Details
| NPI number | 1396936688 |
|---|---|
| LBN Legal business name | Clark, Jessica Rain |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Mar 25th, 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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