Clark, Krista

Clark, Krista is an individual health care provider with primary practice located at 405 N Washington St Ste 310 , Falls Church VA 22046-3460. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Krista can be contacted via phone (703) 672-3819.

Contact Information

Primary practice address
405 N Washington St Ste 310 Falls Church VA 22046-3460
Phone: (703) 672-3819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001837 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001706 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT000469 Georgia

Profile Details

NPI number 1609303312
LBN Legal business name Clark, Krista
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Sep 12th, 2022 - about 3 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.

Request for update

Popular Providers