Clark, Kristina M
Clark, Kristina M is an individual health care provider with primary practice located at 511 Morris St , Charleston WV 25301-1326. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Kristina M can be contacted via phone (304) 525-7851.Contact Information
Primary practice address
511 Morris St
Charleston WV 25301-1326
Phone: (304) 525-7851
Fax: (304) 525-1073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2398 | West Virginia |
Profile Details
| NPI number | 1083173702 |
|---|---|
| LBN Legal business name | Clark, Kristina M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2019 |
| Last updated | Sep 5th, 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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