Clark, Terry R

Clark, Terry R is an individual health care provider with primary practice located at 515 28 3/4 Rd , Grand Junction CO 81501-5016. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Terry R can be contacted via phone (970) 241-6023.

Contact Information

Primary practice address
515 28 3/4 Rd Grand Junction CO 81501-5016
Phone: (970) 241-6023
Fax: (970) 242-8330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6241 Colorado

Profile Details

NPI number 1891749768
LBN Legal business name Clark, Terry R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 4th, 2008 - about 16 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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