Clark, Ollie Bruce

Clark, Ollie Bruce is an individual health care provider with primary practice located at 136 E 6Th St , Beaumont CA 92223-2146. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Clark, Ollie Bruce can be contacted via phone (951) 845-3588.

Contact Information

Primary practice address
136 E 6Th St Beaumont CA 92223-2146
Phone: (951) 845-3588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 18786 California

Profile Details

NPI number 1619201159
LBN Legal business name Clark, Ollie Bruce
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2009
Last updated Oct 1st, 2009 - about 15 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