Still, Clark
Still, Clark is an individual health care provider with primary practice located at 101 2Nd Ave Se , Cullman AL 35055-3511. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Still, Clark can be contacted via phone (256) 734-4910.Contact Information
Primary practice address
101 2Nd Ave Se
Cullman AL 35055-3511
Phone: (256) 734-4910
Fax: (256) 739-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1788 | Alabama |
Profile Details
| NPI number | 1255487716 |
|---|---|
| LBN Legal business name | Still, Clark |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Dec 22nd, 2020 - about 5 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 | 1255487716 | NPPES |
| Alabama | Other | 51513642STI | BCBS |
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