person
Jeremy Clark
Mental Health Counselor in Pocatello, Idaho
NPI 1851551873

Jeremy Clark is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Jeremy Clark practices in Pocatello, ID. The NPI Number for Jeremy Clark is 1851551873 and holds a License No. (Idaho).

The current practice location address for Jeremy Clark is 2055 Garrett Way, Pocatello, ID and can be reached out via phone at 208-236-1600 and via fax at 208-236-6695.

Location: 2055 Garrett Way, Pocatello, ID, 83201-5100
person
Provider Profile Details
NPI Number
1851551873
Provider Name
Jeremy Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2055 Garrett Way, Pocatello, ID, 83201-5100
Phone Number
208-236-1600
Fax Number
208-236-6695
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2055 Garrett Way
City
State
Zip
83201-5100
Phone Number
208-236-1600
Fax Number
208-236-6695
person
Provider Business Mailing Address Details
Address
2055 Garrett Way
City
State
Zip
83201-5100
Phone Number
208-236-1600
Fax Number
208-236-6695
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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