Johnson, Clark Lewis

Johnson, Clark Lewis is an sole proprietor health care provider with primary practice located at 222 West St Suite 29F, Keene NH 03431-2455. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johnson, Clark Lewis can be contacted via phone (603) 357-1180.

Contact Information

Primary practice address
222 West St Suite 29F Keene NH 03431-2455
Phone: (603) 357-1180
Fax: (603) 357-1185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0029 New Hampshire
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 100-0000013 Vermont

Profile Details

NPI number 1528239399
LBN Legal business name Johnson, Clark Lewis
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Feb 18th, 2010 - about 15 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 1528239399 NPPES
New Hampshire MEDICAID 30426647

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