Individual provider · Type 1 NPI

Jazmin Trenise Clark

Peer Specialist · Monroe, LA

NPI number 1184264665 Active

Practice location

4308 S Grand St
Monroe, LA 71202-6322

Call (913) 220-3153 Map

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1184264665

Jazmin Trenise Clark's National Provider Identifier is 1184264665, issued on Jan 13, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Monroe, LA. The record was last updated on Jan 13, 2020.