Clark, Caleb S

Clark, Caleb S is an individual health care provider with primary practice located at 76 Ashwood Dr , Tiffin OH 44883-1908. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Clark, Caleb S can be contacted via phone (419) 448-9440.

Contact Information

Primary practice address
76 Ashwood Dr Tiffin OH 44883-1908
Phone: (419) 448-9440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X C.2304754-TRNE Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2406123 Ohio

Profile Details

NPI number 1194400085
LBN Legal business name Clark, Caleb S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2023
Last updated Jun 7th, 2024 - about 2 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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