Clark, Todd
Clark, Todd is an individual health care provider with primary practice located at 3821 Forrestgate Drive Dba Forsyth Behavior Health, Winston-Salem NC 27103. 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, Todd can be contacted via phone (336) 277-1811.Contact Information
Primary practice address
3821 Forrestgate Drive Dba Forsyth Behavior Health
Winston-Salem NC 27103
Phone: (336) 277-1811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2636 | North Carolina |
Profile Details
| NPI number | 1831311406 |
|---|---|
| LBN Legal business name | Clark, Todd |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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