Edwards, Clint

Edwards, Clint is an sole proprietor health care provider with primary practice located at 58811 Santa Barbara Dr , Yucca Valley CA 92284-6459. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Edwards, Clint can be contacted via phone (760) 702-6188.

Contact Information

Primary practice address
58811 Santa Barbara Dr Yucca Valley CA 92284-6459
Phone: (760) 702-6188
Fax: (760) 560-5924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 95-2225798 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106487 California

Profile Details

NPI number 1821467705
LBN Legal business name Edwards, Clint
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2015
Last updated May 9th, 2023 - about 2 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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