Active NPIIndividual providerSole proprietor

Jeanne C Clark, MA LMFT LMHC

Counselor, Mental Health in Nantucket, Massachusetts

NPI Number1740330778
Practice location
52 South Shore Road, Nantucket, MA 02584-2034
Fax
—
Last updated
July 9, 2007

Jeanne C. Clark is a Counselor, Mental Health based in Nantucket, MA. Jeanne C. Clark practices in Nantucket, MA and has the professional credentials of MA LMFT LMHC. The NPI Number for Jeanne C. Clark is 1740330778 and holds a License No. 3616 (MA). The current practice location address for Jeanne C. Clark is 52 South Shore Road, Nantucket, MA 02584-2034 and can be reached out via phone at 508-228-7655.

Provider Profile Details

NPI Number
1740330778
Provider Name
Jeanne C. Clark
Credential
MA LMFT LMHC
Provider Entity Type
Individual
Gender
Female
Address
52 South Shore Road, Nantucket, MA 02584-2034
Phone Number
508-228-7655
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 South Shore Road
Nantucket, MA 02584-2034
Zip
02584-2034
Phone Number
508-228-7655
Nantucket, MA 02584Get directions →

Provider Business Mailing Address Details

Address
Po Box 2034
Nantucket, MA 02584-2034
City
Nantucket
State
MA
Zip
02584-2034

License Information

License Number
3616
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Nantucket, MA

View all Counselor, Mental Health providers in Nantucket →

Frequently Asked Questions

What is the NPI number of Jeanne C Clark, MA LMFT LMHC?

The NPI number of Jeanne C Clark, MA LMFT LMHC is 1740330778. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Jeanne C Clark, MA LMFT LMHC?

Jeanne C Clark, MA LMFT LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 3616.

Where does Jeanne C Clark, MA LMFT LMHC practice?

The practice location is 52 South Shore Road, Nantucket, MA 02584-2034. The office can be reached at 508-228-7655 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740330778 directly on the NPPES registry website.

Browse related providers