Edmond, Clark David

Edmond, Clark David is an sole proprietor health care provider with primary practice located at 24885 Whitewood Rd Suite 102, Murrieta CA 92563-2014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edmond, Clark David can be contacted via phone (951) 676-5154.

Contact Information

Primary practice address
24885 Whitewood Rd Suite 102 Murrieta CA 92563-2014
Fax: (951) 526-1015
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 25441 California

Profile Details

NPI number 1457651150
LBN Legal business name Edmond, Clark David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2010
Last updated May 6th, 2013 - about 12 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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