Individual provider · Type 1 NPI

Jolie Clark, LCSW

Counselor · Oakland, CA

NPI number 1710563549 Active

Practice location

3715 Magee Ave
Oakland, CA 94619-1429

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X100176 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710563549

Jolie Clark, LCSW's National Provider Identifier is 1710563549, issued on Mar 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Mar 22, 2021.