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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone 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.