Clark-Jefferies, Takenya Chimene

Clark-Jefferies, Takenya Chimene is an sole proprietor health care provider with primary practice located at 12139 Mount Vernon Ave Ste 104 , Grand Terrace CA 92313-5500. 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-Jefferies, Takenya Chimene can be contacted via phone (909) 452-5857.

Contact Information

Primary practice address
12139 Mount Vernon Ave Ste 104 Grand Terrace CA 92313-5500
Phone: (909) 452-5857
Fax: (909) 527-4811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS#62241 California

Profile Details

NPI number 1205087657
LBN Legal business name Clark-Jefferies, Takenya Chimene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2008
Last updated Aug 22nd, 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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