Individual provider · Type 1 NPI

Jaylah Clark

Mental Health Counselor · Greensboro, NC

NPI number 1285452128 Active

Practice location

1515 W Cornwallis Dr Ste 207
Greensboro, NC 27408-6334

Mailing address

4347 Hewitt St Apt E
Greensboro, NC 27407-2088

Other practice locations

  • 210 N Main St Ste 210, Kernersville, NC 27284-4003 · (336) 283-3830

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20242 (NC)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1285452128

Jaylah Clark's National Provider Identifier is 1285452128, issued on Sep 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Aug 3, 2026.