Individual provider · Type 1 NPI
Jeannette B. Clark, MSED., LPCC
Mental Health Counselor · Granville, OH
NPI number
1326407206
Active
Practice location
941 River Rd
Granville, OH 43023-9534
Fax (740) 587-1573
Mailing address
PO Box 279
Utica, OH 43080-0279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | E.2001704 (OH) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Granville
About NPI 1326407206
Jeannette B. Clark, MSED., LPCC's National Provider Identifier is 1326407206, issued on Feb 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Granville, OH. The record was last updated on Jun 18, 2021.