Clementson, Cheryl

Clementson, Cheryl is an sole proprietor health care provider with primary practice located at 710 C St Ste 7C , San Rafael CA 94901-3891. 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. Clementson, Cheryl can be contacted via phone (415) 639-5373.

Contact Information

Primary practice address
710 C St Ste 7C San Rafael CA 94901-3891
Phone: (415) 639-5373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122225 California

Profile Details

NPI number 1851760565
LBN Legal business name Clementson, Cheryl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2015
Last updated Feb 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851760565 NPPES
California MEDICAID A3839173

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