Individual provider · Type 1 NPI
Shawn W. Clark
Mental Health Counselor · Jacksonville, FL
NPI number
1073298790
Active
Practice location
555 Stockton St
Jacksonville, FL 32204-2534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH20786 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1073298790
Shawn W. Clark's National Provider Identifier is 1073298790, issued on Jun 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 20, 2023.