Otto, William Clark
Otto, William Clark is an individual health care provider with primary practice located at 701 E Columbia St , Springfield OH 45503-4404. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Otto, William Clark can be contacted via phone (937) 325-8715.Contact Information
Primary practice address
701 E Columbia St
Springfield OH 45503-4404
Phone: (937) 325-8715
Fax: (937) 325-6240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E3820 | Ohio |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | E3820 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | E3820 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E3820 | Ohio |
Profile Details
| NPI number | 1336353416 |
|---|---|
| LBN Legal business name | Otto, William Clark |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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