Clark, Stacie

Clark, Stacie is an individual health care provider with primary practice located at 19 E 6Th St , Tracy CA 95376-4107. 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, Stacie can be contacted via phone (209) 835-8583.

Contact Information

Primary practice address
19 E 6Th St Tracy CA 95376-4107
Phone: (209) 835-8583
Fax: (209) 956-4245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT41753 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 41753 California

Profile Details

NPI number 1235352279
LBN Legal business name Clark, Stacie
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 29th, 2023 - 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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