Newell, Clinton Patrick
Newell, Clinton Patrick is an sole proprietor health care provider with primary practice located at 72925 Fred Waring Dr Ste 201 , Palm Desert CA 92260-9405. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Newell, Clinton Patrick can be contacted via phone (760) 895-1616.Contact Information
Primary practice address
72925 Fred Waring Dr Ste 201
Palm Desert CA 92260-9405
Phone: (760) 895-1616
Fax: (760) 334-8715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 25 | California |
Profile Details
| NPI number | 1639290620 |
|---|---|
| LBN Legal business name | Newell, Clinton Patrick |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Aug 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639290620 | NPPES |
| Utah | MEDICAID | 876000308007 |
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