Young, Clark

Young, Clark is an individual health care provider with primary practice located at 110 E Main St , Ottumwa IA 52501-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Young, Clark can be contacted via phone (641) 682-8772.

Contact Information

Primary practice address
110 E Main St Ottumwa IA 52501-2910
Phone: (641) 682-8772
Fax: (641) 682-1924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205079936
LBN Legal business name Young, Clark
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Apr 10th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205079936 NPPES
Iowa MEDICAID 1659353670

Popular Providers