Clark, Andrea

Clark, Andrea is an individual health care provider with primary practice located at 10 Southard St , Trenton NJ 08609-1020. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Clark, Andrea can be contacted via phone (609) 396-4557.

Contact Information

Primary practice address
10 Southard St Trenton NJ 08609-1020
Phone: (609) 396-4557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1306359948
LBN Legal business name Clark, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 9 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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