Clark, William

Clark, William is an sole proprietor health care provider with primary practice located at 209 Cooper Avenue Suite 2, Upper Montclair NJ 07043-1850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Clark, William can be contacted via phone (973) 220-9864.

Contact Information

Primary practice address
209 Cooper Avenue Suite 2 Upper Montclair NJ 07043-1850
Phone: (973) 220-9864
Fax: (973) 807-9363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00186000 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00492700 New Jersey

Profile Details

NPI number 1932528312
LBN Legal business name Clark, William
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2014
Last updated Aug 18th, 2016 - about 9 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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