Sandra Clark is a Mental Health in Des Moines, Iowa. Sandra Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Sandra Clark is 1912993825. The last update date is 2007-07-08.
Sandra Clark's current location address is 1801 Hickman Rd, Des Moines, Iowa. You can contact this provider via phone number 5152822319 and fax number 5152823234. The mailing address for Sandra Clark is 1801 Hickman Rd, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Clark |
|---|---|
| Address | 1801 Hickman Rd, Des Moines, Iowa |
| Phone Number | 5152822319 |
| Fax Number | 5152823234 |
| Sole Proprietor | X |
| Credentials | MHCL |
NPI Number Detail
| NPI Number | 1912993825 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1801 Hickman Rd |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503141505 |
| Phone Number | 5152822319 |
| Fax Number | 5152823234 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 175 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Sandra Clark's unique identification number?
The Sandra Clark has been assigned the NPI (National Provider Identifier) Number 1912993825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Sandra Clark?
The Sandra Clark is physically situated at 1801 Hickman Rd, in the city of Des Moines, state of IA, with the postal code 503141505.
What is Sandra Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sandra Clark is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Sandra Clark receive the assignment of its 1912993825 from the Centers for Medicare & Medicaid Services?
The Sandra Clark was issued its 1912993825 by the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date were the details related to Sandra Clark most recently updated or revised?
The information pertaining to Sandra Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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