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Lisa Jacobs Clark
Mental Health Counselor in Riverside, California
NPI 1891241469

Lisa Jacobs Clark is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Lisa Jacobs Clark practices in Riverside, CA. The NPI Number for Lisa Jacobs Clark is 1891241469 and holds a License No. IMF69558 (California).

The current practice location address for Lisa Jacobs Clark is 6840 Indiana Ave Ste 275, Riverside, CA and can be reached out via phone at 951-823-5134.

Location: 6840 Indiana Ave Ste 275, Riverside, CA, 92506-4279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891241469
Provider Name
Lisa Jacobs Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
6840 Indiana Ave Ste 275, Riverside, CA, 92506-4279
Phone Number
951-823-5134
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6840 Indiana Ave Ste 275
City
Riverside
State
California
Zip
92506
Phone Number
951-823-5134
Fax Number
person
Provider Business Mailing Address Details
Address
6840 Indiana Ave Ste 275
City
Riverside
State
California
Zip
92506
Phone Number
951-823-5134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMF69558 (California)
Definition
Definition to come...
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