Individual provider · Type 1 NPI

Jessica Clark, MA

Mental Health Counselor · Elkhart, IN

NPI number 1063140465 Active

Practice location

59466 County Road 113
Elkhart, IN 46517-3644

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063140465

Jessica Clark, MA's National Provider Identifier is 1063140465, issued on Aug 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elkhart, IN. The record was last updated on Mar 19, 2024.