Organization · Type 2 NPI

Jacob Clark Psychotherapy Group

Mental Health Counselor · Midlothian, VA

NPI number 1487535373 Active

Practice location

12351 Dutton Rd Apt 1418
Midlothian, VA 23113-4415

Call (571) 206-8137 Map

Mailing address

14319 Shelter Cove Rd
Midlothian, VA 23112-2240

Other practice locations

  • 1660 S Albion St Ste 310, Denver, CO 80222-4041 · (571) 206-8137

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487535373

Jacob Clark Psychotherapy Group's National Provider Identifier is 1487535373, issued on Sep 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midlothian, VA. The record was last updated on Sep 9, 2025.