Clark, Cristal R
Clark, Cristal R is an sole proprietor health care provider with primary practice located at 3327 Winthrop Ave Suite 205, Fort Worth TX 76116-5613. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Cristal R can be contacted via phone (817) 994-6962.Contact Information
Primary practice address
3327 Winthrop Ave Suite 205
Fort Worth TX 76116-5613
Phone: (817) 994-6962
Fax: (817) 984-1102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 68323 | Texas |
Profile Details
| NPI number | 1518205087 |
|---|---|
| LBN Legal business name | Clark, Cristal R |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2013 |
| Last updated | Mar 1st, 2014 - about 12 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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