Clark, Sherrell

Clark, Sherrell is an sole proprietor health care provider with primary practice located at 2085 Rustin Ave Ste 1 , Riverside CA 92507-2498. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Clark, Sherrell can be contacted via phone (951) 955-7320.

Contact Information

Primary practice address
2085 Rustin Ave Ste 1 Riverside CA 92507-2498
Phone: (951) 955-7320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1003366535
LBN Legal business name Clark, Sherrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2016
Last updated Jun 26th, 2024 - about last year

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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