location
search-icon
person
Jendaya M Clark
Counselor in Rockford, Illinois
NPI 1346866563

Jendaya M Clark is a Counselor based in Rockford, IL. Jendaya M Clark practices in Rockford, IL. The NPI Number for Jendaya M Clark is 1346866563 and holds a License No. 180.012915 (Illinois).

The current practice location address for Jendaya M Clark is 1201 Cypress Ter, Rockford, IL and can be reached out via phone at 815-519-8548.

Location: 1201 Cypress Ter, Rockford, IL, 61105-0341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346866563
Provider Name
Jendaya M Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Cypress Ter, Rockford, IL, 61105-0341
Phone Number
815-519-8548
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Cypress Ter
City
Rockford
State
Illinois
Zip
61102-3375
Phone Number
815-519-8548
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Cypress Ter
City
Rockford
State
Illinois
Zip
61102-3375
Phone Number
815-519-8548
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.012915 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.