Clark, Richard

Clark, Richard is an individual health care provider with primary practice located at 1014 Main Street , Vancouver WA 98660. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Clark, Richard can be contacted via phone (360) 695-1014.

Contact Information

Primary practice address
1014 Main Street Vancouver WA 98660
Phone: (360) 695-1014
Fax: (360) 750-1374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1275063737
LBN Legal business name Clark, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2017
Last updated Jul 21st, 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.

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