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Jeannine Pearce Clark
Mental Health Counselor in Lauderdale By The Sea, Florida
NPI 1518684232

Jeannine Pearce Clark is a Mental Health Counselor based in Lauderdale By The Sea, FL and is specialized in Mental Health. Jeannine Pearce Clark practices in Lauderdale By The Sea, FL. The NPI Number for Jeannine Pearce Clark is 1518684232 and holds a License No. 22609 (Florida).

The current practice location address for Jeannine Pearce Clark is 271 Imperial Ln, Lauderdale By The Sea, FL and can be reached out via phone at 954-478-9328.

Location: 271 Imperial Ln, Lauderdale By The Sea, FL, 33308-5924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518684232
Provider Name
Jeannine Pearce Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
271 Imperial Ln, Lauderdale By The Sea, FL, 33308-5924
Phone Number
954-478-9328
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46-3082537 05 FL
101YM0800X 05 FL
institution
Provider Business Practice Location Address Details
Address
271 Imperial Ln
City
Lauderdale By The Sea
State
Florida
Zip
33308-5924
Phone Number
954-478-9328
Fax Number
person
Provider Business Mailing Address Details
Address
271 Imperial Ln
City
Lauderdale By The Sea
State
Florida
Zip
33308-5924
Phone Number
954-478-9328
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
22609 (Florida)
Definition
Definition to come...
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