King, Clay Madison

King, Clay Madison is an individual health care provider with primary practice located at 3350 La Jolla Village Dr , San Diego CA 92161-0002. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. King, Clay Madison can be contacted via phone (858) 552-7548.

Contact Information

Primary practice address
3350 La Jolla Village Dr San Diego CA 92161-0002
Phone: (858) 552-7548
Fax: (858) 552-7455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2455123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1783 Minnesota

Profile Details

NPI number 1801848114
LBN Legal business name King, Clay Madison
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 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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