Kristin Anne Clark in Gilroy - Mental Health
Kristin Anne Clark - NPI 1851468052
Kristin Anne Clark is a Mental Health in Gilroy, California. Kristin Anne Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kristin Anne Clark is 1851468052. The last update date is 2017-08-07.
Kristin Anne Clark's current location address is 290 Ioof Ave., Gilroy, California. You can contact this provider via phone number 8314666385. The mailing address for Kristin Anne Clark is 290 Ioof Ave., Gilroy, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristin Anne Clark |
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Address | 290 Ioof Ave., Gilroy, California |
Phone Number | 8314666385 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1851468052 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2017-08-07 |
Provider Mailing Address Detail
Address | 290 Ioof Ave. |
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City | Gilroy |
State | California (CA) |
Post Code | 95020 |
Phone Number | 8314666385 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 73118 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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41807 | CA | UNICARE NUMBER |
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What is the unique 10-digit identification code assigned to Kristin Anne Clark by the Centers for Medicare & Medicaid Services?
The Kristin Anne Clark has been issued the NPI (National Provider Identifier) 1851468052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristin Anne Clark located?
The Kristin Anne Clark is located at 290 Ioof Ave., Gilroy, CA 95020.
What is the Kristin Anne Clark's area of specialization and corresponding taxonomy classification?
The Kristin Anne Clark's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When was the Kristin Anne Clark's 1851468052 issued?
The Kristin Anne Clark's 1851468052 was issued on 2006-11-30.
As of what date was the information regarding Kristin Anne Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristin Anne Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-08-07.