Clark, Kimberly Irene
Clark, Kimberly Irene is an sole proprietor health care provider with primary practice located at 3077 Coolidge Ave , Costa Mesa CA 92626-2809. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Kimberly Irene can be contacted via phone (714) 614-7382.Contact Information
Primary practice address
3077 Coolidge Ave
Costa Mesa CA 92626-2809
Phone: (714) 614-7382
Fax: (714) 444-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 40815 | California |
Profile Details
| NPI number | 1609050913 |
|---|---|
| LBN Legal business name | Clark, Kimberly Irene |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Dec 21st, 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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