Clark, Kristian Delane

Clark, Kristian Delane is an sole proprietor health care provider with primary practice located at 400 Veterans Ave , Biloxi MS 39531-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Kristian Delane can be contacted via phone (228) 523-5362.

Contact Information

Primary practice address
400 Veterans Ave Biloxi MS 39531-2410
Phone: (228) 523-5362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C7638 Mississippi

Profile Details

NPI number 1013318161
LBN Legal business name Clark, Kristian Delane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 10 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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