person
Jennifer Anne Clark, LPC
Professional Counselor in Chicago, Illinois
NPI 1245953199

Jennifer Anne Clark is a Professional Counselor based in Chicago, IL and is specialized in Professional. Jennifer Anne Clark practices in Chicago, IL and has the professional credentials of LPC. The NPI Number for Jennifer Anne Clark is 1245953199 and holds a License No. 178.018157 (Illinois).

The current practice location address for Jennifer Anne Clark is 2071 N Southport Ave Ste 100, Chicago, IL and can be reached out via phone at 509-436-6625.

Location: 2071 N Southport Ave Ste 100, Chicago, IL, 60614-4015
person
Provider Profile Details
NPI Number
1245953199
Provider Name
Jennifer Anne Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2071 N Southport Ave Ste 100, Chicago, IL, 60614-4015
Phone Number
509-436-6625
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2071 N Southport Ave Ste 100
City
State
Zip
60614-4015
Phone Number
509-436-6625
Fax Number
person
Provider Business Mailing Address Details
Address
2071 N Southport Ave Ste 100
City
State
Zip
60614-4015
Phone Number
509-436-6625
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.018157 (Illinois)
Definition
Definition to come...
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