Clark, Stacy

Clark, Stacy is an individual health care provider with primary practice located at 23832 Rockfield Blvd Ste 120 , Lake Forest CA 92630-2870. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Clark, Stacy can be contacted via phone (949) 415-8631.

Contact Information

Primary practice address
23832 Rockfield Blvd Ste 120 Lake Forest CA 92630-2870
Phone: (949) 415-8631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT35323 California

Profile Details

NPI number 1881047124
LBN Legal business name Clark, Stacy
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Apr 1st, 2025 - about last year

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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