Clark, Kathleen M.

Clark, Kathleen M. is an sole proprietor health care provider with primary practice located at 3724 Jefferson St Suite 206, Austin TX 78731-6221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Kathleen M. can be contacted via phone (512) 452-8948.

Contact Information

Primary practice address
3724 Jefferson St Suite 206 Austin TX 78731-6221
Phone: (512) 452-8948
Fax: (512) 452-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S03218 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3218 Texas

Profile Details

NPI number 1740276906
LBN Legal business name Clark, Kathleen M.
Credentials L.C.S.W. , B.C.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Sep 8th, 2008 - about 18 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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