Clarke, Terry

Clarke, Terry is an individual health care provider with primary practice located at 1110 W William Cannon Dr Ste 303 , Austin TX 78745-3188. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clarke, Terry can be contacted via phone (512) 899-2100.

Contact Information

Primary practice address
1110 W William Cannon Dr Ste 303 Austin TX 78745-3188
Phone: (512) 899-2100
Fax: (512) 899-2205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15547 Texas

Profile Details

NPI number 1740938844
LBN Legal business name Clarke, Terry
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2022
Last updated Mar 17th, 2022 - about 3 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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