Clark, Alexandra Elyse

Clark, Alexandra Elyse is an individual health care provider with primary practice located at 16580 Harbor Blvd Ste O , Fountain Valley CA 92708-1396. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Alexandra Elyse can be contacted via phone (714) 788-6165.

Contact Information

Primary practice address
16580 Harbor Blvd Ste O Fountain Valley CA 92708-1396
Phone: (714) 788-6165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 117235 California

Profile Details

NPI number 1386155182
LBN Legal business name Clark, Alexandra Elyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated Nov 28th, 2023 - 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.

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