Individual provider · Type 1 NPI
Ja'cole Clark
Mental Health Counselor · Crowley, TX
NPI number
1639614423
Active
Practice location
10244 E Rancho Diego Ln
Crowley, TX 76036-9434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639614423
Ja'cole Clark's National Provider Identifier is 1639614423, issued on Jan 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crowley, TX. The record was last updated on Jan 3, 2017.