Craig William Clark in Santa Clara - Marriage & Family Therapist
Craig William Clark - NPI 1245453034
Craig William Clark is a Marriage & Family Therapist in Santa Clara, California. Craig William Clark practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Craig William Clark is 1245453034. The last update date is 2007-07-08.
Craig William Clark's current location address is 100 N Winchester Blvd, Santa Clara, California. You can contact this provider via phone number 4082965758 and fax number 4082473976. The mailing address for Craig William Clark is 100 N Winchester Blvd, Santa Clara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig William Clark |
|---|---|
| Address | 100 N Winchester Blvd, Santa Clara, California |
| Phone Number | 4082965758 |
| Fax Number | 4082473976 |
| Sole Proprietor | Y |
| Credentials | CRAIG CLAR |
NPI Number Detail
| NPI Number | 1245453034 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 N Winchester Blvd |
|---|---|
| City | Santa Clara |
| State | California (CA) |
| Post Code | 950506520 |
| Phone Number | 4082965758 |
| Fax Number | 4082473976 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC34874 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Craig William Clark by the Centers for Medicare & Medicaid Services?
The Craig William Clark has been issued the NPI (National Provider Identifier) 1245453034. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Craig William Clark is geographically located?
The Craig William Clark is physically situated at the following location: 100 N Winchester Blvd, Santa Clara, CA, 950506520.
What is the Craig William Clark's specialty and taxonomy code?
The Craig William Clark's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did Craig William Clark receive its 1245453034 assignment from the Centers for Medicare & Medicaid Services?
The Craig William Clark was assigned its 1245453034 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Craig William Clark last refreshed?
The information related to the Craig William Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.