Individual provider · Type 1 NPI

Jessica Leann Clark

Addiction (Substance Use Disorder) Counselor · Flint, MI

NPI number 1508621160 Active

Practice location

504 N Grand Traverse St
Flint, MI 48503-2536

Call (810) 487-4676 Map

Fax (810) 496-4295

Mailing address

5099 W Farrand Rd
Clio, MI 48420-8215

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508621160

Jessica Leann Clark's National Provider Identifier is 1508621160, issued on Feb 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Flint, MI. The record was last updated on Feb 13, 2024.