Clark, Khristian

Clark, Khristian is an individual health care provider with primary practice located at 25143 Jack Rabbit Acres , Escondido CA 92026-1267. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Clark, Khristian can be contacted via phone (760) 566-8648.

Contact Information

Primary practice address
25143 Jack Rabbit Acres Escondido CA 92026-1267
Phone: (760) 566-8648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1851055792
LBN Legal business name Clark, Khristian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Feb 14th, 2024 - about 10 months 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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