Clark, Virginia Louise

Clark, Virginia Louise is an individual health care provider with primary practice located at 1107 Abbot Kinney Blvd , Venice CA 90291. 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, Virginia Louise can be contacted via phone (310) 281-6059.

Contact Information

Primary practice address
1107 Abbot Kinney Blvd Venice CA 90291
Phone: (310) 281-6059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC5298 California

Profile Details

NPI number 1407949662
LBN Legal business name Clark, Virginia Louise
Credentials PH D MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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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