Milligan, Clark

Milligan, Clark is an individual health care provider with primary practice located at 301 W Mountain St , Fayetteville AR 72701-5947. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Milligan, Clark can be contacted via phone (479) 442-2457.

Contact Information

Primary practice address
301 W Mountain St Fayetteville AR 72701-5947
Phone: (479) 442-2457
Fax: (479) 442-0159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P9201004 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M9903003 Arkansas

Profile Details

NPI number 1710943808
LBN Legal business name Milligan, Clark
Credentials LPC, LMFT, ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710943808 NPPES
Arkansas Other 5S426 BC/BS #

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