Individual provider · Type 1 NPI
Jada Clark
Professional Counselor · Detroit, MI
NPI number
1689506966
Active
Practice location
10201 E Jefferson Ave
Detroit, MI 48214-3149
Mailing address
21850 Coolidge Hwy Apt 103
Oak Park, MI 48237-2826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1689506966
Jada Clark's National Provider Identifier is 1689506966, issued on Jun 1, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jun 1, 2026.