person
Jackie Clark
Mental Health Counselor in Las Vegas, Nevada
NPI 1467874107

Jackie Clark is a Mental Health Counselor based in Las Vegas, NV and is specialized in Mental Health. Jackie Clark practices in Las Vegas, NV. The NPI Number for Jackie Clark is 1467874107 and holds a License No. 251S00000X (Nevada).

The current practice location address for Jackie Clark is 6130 Elton Ave, Las Vegas, NV and can be reached out via phone at 919-710-4252.

Location: 6130 Elton Ave, Las Vegas, NV, 89107-2538
person
Provider Profile Details
NPI Number
1467874107
Provider Name
Jackie Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
6130 Elton Ave, Las Vegas, NV, 89107-2538
Phone Number
919-710-4252
Fax Number
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6130 Elton Ave
City
State
Zip
89107-2538
Phone Number
919-710-4252
Fax Number
person
Provider Business Mailing Address Details
Address
6130 Elton Ave
City
State
Zip
89107-2538
Phone Number
919-710-4252
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
251S00000X (Nevada)
Definition
Definition to come...
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