Clark, Vanessa Marie

Clark, Vanessa Marie is an individual health care provider with primary practice located at 251 Fenn St , Pittsfield MA 01201-5269. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Vanessa Marie can be contacted via phone (413) 499-0412.

Contact Information

Primary practice address
251 Fenn St Pittsfield MA 01201-5269
Phone: (413) 499-0412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1457045106
LBN Legal business name Clark, Vanessa Marie
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Jun 6th, 2023 - about 2 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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