Valerie Jordan Clark in Virginia Beach - Professional

Valerie Jordan Clark - NPI 1679504997

Valerie Jordan Clark is a Professional in Virginia Beach, Virginia. Valerie Jordan Clark practices all healthcare services and medical treatments related to Professional. The NPI Number for Valerie Jordan Clark is 1679504997. The last update date is 2009-04-25.

Valerie Jordan Clark's current location address is 4855 Princess Anne Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574677707 and fax number 7574953206. The mailing address for Valerie Jordan Clark is 4855 Princess Anne Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Valerie Jordan Clark
Address 4855 Princess Anne Rd, Virginia Beach, Virginia
Phone Number 7574677707
Fax Number 7574953206
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1679504997
Provider Enumeration Date 2006-07-05
Last Updated Date 2009-04-25

Provider Mailing Address Detail

Address 4855 Princess Anne Rd
City Virginia Beach
State Virginia (VA)
Post Code 234624446
Phone Number 7574677707
Fax Number 7574953206

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 701003751
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
O802295M VA SENTARA-OPTIMA-OFC
10264359 VA VIRGINIA PREMIER HEALTH
197565 VA ANTHEM BLUE CROSS BLUE SH
10264359 VA --

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FAQs about Valerie Jordan Clark

What is the unique 10-digit identifier code issued to Valerie Jordan Clark by the Centers for Medicare & Medicaid Services?

The Valerie Jordan Clark has been assigned the NPI (National Provider Identifier) 1679504997 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Valerie Jordan Clark's facilities are geographically located?

The facilities of Valerie Jordan Clark are physically situated at the following location: 4855 Princess Anne Rd, Virginia Beach, VA, 234624446.

What is Valerie Jordan Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Valerie Jordan Clark is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date did the Valerie Jordan Clark receive its 1679504997 assignment from the Centers for Medicare & Medicaid Services?

The Valerie Jordan Clark was assigned its 1679504997 by the Centers for Medicare & Medicaid Services on 2006-07-05.

As of what date were the Valerie Jordan Clark's details last updated?

The information pertaining to the Valerie Jordan Clark, including its address, specialty, and other details, was most recently updated on 2009-04-25.

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