Clark, Joan Marie
Clark, Joan Marie is an sole proprietor health care provider with primary practice located at 2402 Broadmoor Dr 101-C, Bryan TX 77802-2847. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Joan Marie can be contacted via phone (979) 774-4134.Contact Information
Primary practice address
2402 Broadmoor Dr 101-C
Bryan TX 77802-2847
Phone: (979) 774-4134
Fax: (979) 776-4804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12842 | Texas |
Profile Details
| NPI number | 1073531125 |
|---|---|
| LBN Legal business name | Clark, Joan Marie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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