Clark, Jill
Clark, Jill is an individual health care provider with primary practice located at 1170 E Central Ave , West Carrollton OH 45449-1825. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Clark, Jill can be contacted via phone (937) 865-9061.Contact Information
Primary practice address
1170 E Central Ave
West Carrollton OH 45449-1825
Phone: (937) 865-9061
Fax: (937) 865-9069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C-5998 | Ohio |
Profile Details
| NPI number | 1568684777 |
|---|---|
| LBN Legal business name | Clark, Jill |
| Credentials | BA MS LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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