person
Jan Fisher Clark, LPC
Professional Counselor in Chubbuck, Idaho
NPI 1548927379

Jan Fisher Clark is a Professional Counselor based in Chubbuck, ID and is specialized in Professional. Jan Fisher Clark practices in Chubbuck, ID and has the professional credentials of LPC. The NPI Number for Jan Fisher Clark is 1548927379 and holds a License No. LPC-8452 (Idaho).

The current practice location address for Jan Fisher Clark is 265 E Chubbuck Rd, Chubbuck, ID and can be reached out via phone at 208-237-1711 and via fax at 208-237-9806. You can also correspond with Jan Fisher Clark through the mailing address at 265 E CHUBBUCK RD, CHUBBUCK, ID - 83202-5055 (mailing address contact number: 208-237-1711).

Location: 265 E Chubbuck Rd, Chubbuck, ID, 83202-5055
person
Provider Profile Details
NPI Number
1548927379
Provider Name
Jan Fisher Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
265 E Chubbuck Rd, Chubbuck, ID, 83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
Provider Enumeration Date
11/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
265 E Chubbuck Rd
City
State
Zip
83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
person
Provider Business Mailing Address Details
Address
265 E Chubbuck Rd
City
State
Zip
83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-8452 (Idaho)
Definition
Definition to come...
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