Clark, Kayla Nicole

Clark, Kayla Nicole is an individual health care provider with primary practice located at 3433 W Shaw Ave Ste 107 , Fresno CA 93711-3229. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Clark, Kayla Nicole can be contacted via phone (559) 476-2115.

Contact Information

Primary practice address
3433 W Shaw Ave Ste 107 Fresno CA 93711-3229
Phone: (559) 476-2115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Peer Specialist 175T00000X MPSS-NRETPW California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790256725
LBN Legal business name Clark, Kayla Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Jan 22nd, 2024 - about last year

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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