Larry, Clairissa

Larry, Clairissa is an sole proprietor health care provider with primary practice located at 1540 E Colorado St , Glendale CA 91205-1514. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Larry, Clairissa can be contacted via phone (818) 863-8009.

Contact Information

Primary practice address
1540 E Colorado St Glendale CA 91205-1514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4955 California

Profile Details

NPI number 1861925166
LBN Legal business name Larry, Clairissa
Credentials APCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2017
Last updated Sep 16th, 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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