Clark, Tracey
Clark, Tracey is an sole proprietor health care provider with primary practice located at 1457 E Chapman Ave , Fullerton CA 92831-3912. 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, Tracey can be contacted via phone (714) 655-5371.Contact Information
Primary practice address
1457 E Chapman Ave
Fullerton CA 92831-3912
Phone: (714) 655-5371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 53834 | California |
Profile Details
| NPI number | 1154703015 |
|---|---|
| LBN Legal business name | Clark, Tracey |
| Credentials | M.A., LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Dec 9th, 2016 - about 10 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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