Clark, Susan Karen

Clark, Susan Karen is an individual health care provider with primary practice located at 3934 Camellia Dr , San Bernardino CA 92404-2019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Clark, Susan Karen can be contacted via phone (951) 316-4841.

Contact Information

Primary practice address
3934 Camellia Dr San Bernardino CA 92404-2019
Phone: (951) 316-4841
Fax: (909) 804-0056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 121989 California

Profile Details

NPI number 1255789269
LBN Legal business name Clark, Susan Karen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated Aug 4th, 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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