Clemenceau, Stacey Nelson

Clemenceau, Stacey Nelson is an sole proprietor health care provider with primary practice located at 820 Las Gallinas Ave , San Rafael CA 94903-3410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clemenceau, Stacey Nelson can be contacted via phone (415) 444-3522.

Contact Information

Primary practice address
820 Las Gallinas Ave San Rafael CA 94903-3410
Phone: (415) 444-3522
Fax: (415) 444-3019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16162 California

Profile Details

NPI number 1265594113
LBN Legal business name Clemenceau, Stacey Nelson
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Feb 11th, 2022 - 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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