Individual provider · Type 1 NPI
Jerry D. Clark, LPC
Mental Health Counselor · Houston, TX
NPI number
1710058284
Active
Practice location
1830 Nasa Pkwy Ste 104
Houston, TX 77058-3544
Fax (281) 335-0702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 15162 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1710058284
Jerry D. Clark, LPC's National Provider Identifier is 1710058284, issued on Nov 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.