Clark, Nikole

Clark, Nikole is an sole proprietor health care provider with primary practice located at 210 Court St Ste 4 , Watertown NY 13601-4546. 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, Nikole can be contacted via phone (315) 783-0193.

Contact Information

Primary practice address
210 Court St Ste 4 Watertown NY 13601-4546
Phone: (315) 783-0193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001882-1 New York

Profile Details

NPI number 1578985552
LBN Legal business name Clark, Nikole
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2014
Last updated Jan 10th, 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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