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Jean Clinton, LPC
Counselor in San Rafael, California
NPI 1548770092

Jean Clinton is a Counselor based in San Rafael, CA. Jean Clinton practices in San Rafael, CA and has the professional credentials of LPC. The NPI Number for Jean Clinton is 1548770092 and holds a License No. 13052 (California).

The current practice location address for Jean Clinton is 2370 Kerner Blvd, San Rafael, CA and can be reached out via phone at 602-376-8554.

Location: 2370 Kerner Blvd, San Rafael, CA, 94901-5546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548770092
Provider Name
Jean Clinton
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2370 Kerner Blvd, San Rafael, CA, 94901-5546
Phone Number
602-376-8554
Fax Number
Provider Enumeration Date
10/10/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99999999 01 HEALTH NET
institution
Provider Business Practice Location Address Details
Address
2370 Kerner Blvd
City
San Rafael
State
California
Zip
94901-5546
Phone Number
602-376-8554
Fax Number
person
Provider Business Mailing Address Details
Address
2370 Kerner Blvd
City
San Rafael
State
California
Zip
94901-5546
Phone Number
602-376-8554
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
13052 (Arizona)
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.
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