Individual provider · Type 1 NPI

Jean K. Clark, LCPC

Mental Health Counselor · Rockford, IL

NPI number 1174608681 Active

Practice location

Manhattan Counseling Center, 4751 Manhattan Dr
Rockford, IL 61108-2264

Call (815) 720-4960 Map

Fax (815) 720-4970

Mailing address

526 W State Street
Rockford, IL 61101-1214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174608681

Jean K. Clark, LCPC's National Provider Identifier is 1174608681, issued on Oct 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.