Clyde Childress JR.

  • NPI 1376998898
According to our database, the NPI number for Clyde Childress JR. is 1376998898 and activated since 8 years ago. Clyde Childress JR. is an individual provider who specializes in Counselor, and the primary practice location is 1466 Lincoln Ave, San Rafael, CA 94901. You can also contact Clyde Childress JR. via telephone number is (415) 457-3755. Provider NPI information was last updated on 05/03/2016.

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Overview of Clyde Childress JR.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/03/2016
  • Last updated: 05/03/2016

Primary Scrop of Practice

  • Taxonomy Code: 101Y00000X
  • Specialty: Counselor
  • License Number: C1106010028
  • License State: CA

Provider Mailing Address

  • Address: 1466 Lincoln Ave
    San Rafael, CA 94901
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1466 Lincoln Ave
    San Rafael, CA 94901
  • Phone: 415-457-3755
  • Fax:

Scope of Practice

  • Taxonomy Code: 101Y00000X
  • Specialty: Counselor
  • License Number: C110601002
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clyde Childress JR.?
  • A: The npi number for Clyde Childress JR. is 1376998898.
  • Q: What are Clyde Childress JR.'s specialties?
  • A: Clyde Childress JR.'s specialties are Counselor and different specialities.
  • Q: What is the medical license for Clyde Childress JR.?
  • A: The medical license number for Clyde Childress JR. is C1106010028 and issued in CA in USA.
  • Q: Where is Clyde Childress JR. practice location?
  • A: Clyde Childress JR. is practicing at 1466 Lincoln Ave, San Rafael, CA 94901.
  • Q: How to contact Clyde Childress JR.?
  • A: You can contact Clyde Childress JR. via 415-457-3755.