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Mrs. Jessica Clark, MA
Mental Health Counselor in Elkhart, Indiana
NPI 1063140465

Jessica Clark is a Mental Health Counselor based in Elkhart, IN and is specialized in Mental Health. Jessica Clark practices in Elkhart, IN and has the professional credentials of MA. The NPI Number for Jessica Clark is 1063140465 and holds a License No. (Indiana).

The current practice location address for Jessica Clark is 59466 County Road 113, Elkhart, IN and can be reached out via phone at 574-830-5778.

Location: 59466 County Road 113, Elkhart, IN, 46517-3644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063140465
Provider Name
Jessica Clark
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
59466 County Road 113, Elkhart, IN, 46517-3644
Phone Number
574-830-5778
Fax Number
Provider Enumeration Date
08/12/2022
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 MI DO NOT HAVE IDENTIFIERS
institution
Provider Business Practice Location Address Details
Address
59466 County Road 113
City
Elkhart
State
Indiana
Zip
46517-3644
Phone Number
574-830-5778
Fax Number
person
Provider Business Mailing Address Details
Address
59466 County Road 113
City
Elkhart
State
Indiana
Zip
46517-3644
Phone Number
574-830-5778
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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